case_images: PMC10903573_01
case_images: CT chest scan with contrast in October of 2020, showing bilateral anterior and apical pulmonary nodules and ground glass opacities.
case_images: cureus-0016-00000053234-i01.jpg
case_images: PMC10903573_01_cureus-0016-00000053234-i01.jpg
case_images: FIG1
case_images: Her first CT of the chest in October 2020 showed no findings concerning metastases (Figure 1).
case_images: CT chest scan from April 2022 considered the potential for pulmonary metastatic calcifications situated in the anterior part of the left and the right lung (red circles), potentially from a recurrent right pelvic chondrosarcoma. Importantly, the size of the nodules has increased from the previous CT scan.
case_images: cureus-0016-00000053234-i02.jpg
case_images: PMC10903573_01_cureus-0016-00000053234-i02.jpg
case_images: FIG2
case_images: A CT scan done in April 2022 started to suggest pulmonary metastatic calcifications (Figure 2). A left upper lobe wedge resection performed in July 2022 showed extensive calcification and fibrosis with negative immunostaining for AE1/3, CD34, SMA, desmin, ERG, STAT6, and S100 (Figure 3).
case_images: Lung wedge biopsy of the left upper lobe was performed. Sectioning reveals a 5.5 x 2.7 x 1.5 cm calcified gray-white, rubbery mass/nodule, lesion. Microscopic examination of the lesion reviewed extensive calcification and fibrosis as shown in slide one (stained with H&E, at 40 x magnification) and slide 2 (stained with H&E, at 200 x magnification). The calcified lesion represents calcified pulmonary metastases of chondrosarcoma.
case_images: cureus-0016-00000053234-i03.jpg
case_images: PMC10903573_01_cureus-0016-00000053234-i03.jpg
case_images: FIG3
case_images: A CT scan done in April 2022 started to suggest pulmonary metastatic calcifications (Figure 2). A left upper lobe wedge resection performed in July 2022 showed extensive calcification and fibrosis with negative immunostaining for AE1/3, CD34, SMA, desmin, ERG, STAT6, and S100 (Figure 3).
case_images: The red arrow points to the area of the pelvis most concerning chondrosarcoma growth and destruction. Of note, the patient was rotated in this picture.
case_images: cureus-0016-00000053234-i04.jpg
case_images: PMC10903573_01_cureus-0016-00000053234-i04.jpg
case_images: FIG4
case_images: She returned to the hospital one month later with sepsis, and a CT at that time showed an increasing pelvic mass concerning chondrosarcoma growth, and new liver and uterine mass lesions (Figure 4).