Cannonball-Like Lung Nodules in a Patient With a Colorectal Tumor

Adriana Scamporlino, Maria Cecilia Mengoli, Olga Calabrese, Giovanni Della Casa, Beatrice Aramini, Andrea Spallanzani, Uliano Morandi, Alessandro Stefani

Research output: Contribution to journalArticlepeer-review

Abstract

Case Presentation: A 72-year-old man underwent endoscopic resection of a 10-mm polypoid sessile lesion of the rectum. Histologic examination found a well-differentiated, low-grade (G1), neuroendocrine tumor. A thoracoabdominal CT scan was performed for staging purposes. The chest CT scan revealed a so-called cannonball-like distribution of multiple rounded nodules, with well-defined margins, ranging from 0.5 to 5 cm, scattered in both lungs (Figs 1A, 1B). The abdominal CT scan showed no abnormalities. A recent colonoscopy showed no evidence of malignancy. No prior chest imaging was available and the patient had never complained of respiratory symptoms. The patient was a former smoker, with a smoking history of 20 pack-years. He had a history of hypertension, mild stenosis of both carotid arteries, and benign prostatic hypertrophy. He reported the presence of long-standing multiple cutaneous hemangiomas on the trunk and face and a larger hemangiomatous lesion on his left lower limb, which was previously investigated by color Doppler ultrasound imaging. All these lesions were reported as unaltered and unchanged since early infancy.

Original languageEnglish
Pages (from-to)e85-e89
Number of pages5
JournalChest
Volume156
Issue number4
DOIs
Publication statusPublished - Oct 4 2019

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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