case_images: PMC2249599_01
case_images: Chest X-ray: bilateral pleural effusions and extensive interstitial reticulo-nodular shadowing.
case_images: 1752-1947-2-19-1.jpg
case_images: PMC2249599_01_1752-1947-2-19-1.jpg
case_images: F1
case_images: A repeat chest x-ray now showed bilateral pleural effusions and extensive reticulonodular shadowing [Figure 1].
case_images: Axial CT of the mid thorax with lung window settings: bilateral pleural effusions and diffuse septal thickening consistent with lymphangitis carcinomatosa.
case_images: 1752-1947-2-19-2.jpg
case_images: PMC2249599_01_1752-1947-2-19-2.jpg
case_images: F2
case_images: Throughout both lungs there was extensive septal thickening typical of lymphangitis carcinomatosa as well as nodular areas suggestive of pulmonary metastases and moderate bilateral pleural effusions [Figure 2].
case_images: Axial CT through the mid-abdomen following intravenous contrast: the normal part of the right kidney(K) is seen posteriorly with a large mass containing central necrosis arising anteriorly(T). Enlarged lymph nodes(L) are also seen adjacent to the aorta.
case_images: 1752-1947-2-19-3.jpg
case_images: PMC2249599_01_1752-1947-2-19-3.jpg
case_images: F3
case_images: Within the abdomen, a 9 x 13 cm mass containing central necrosis was present arising from the lower pole of the right kidney and associated with extensive retroperitoneal lymphadenopathy [Figure 3].