case_images: PMC7218319_01
case_images: Axial contrast-enhanced computed tomography scan demonstrates small pericardial and left pleural effusions.
case_images: 10.1177_2324709620918101-fig1.jpg
case_images: PMC7218319_01_10.1177_2324709620918101-fig1.jpg
case_images: fig1-2324709620918101
case_images: Computed tomography (CT) of the chest revealed small pericardial and left pleural effusions (Figure 1), and a large left upper-lobe paramediastinal mass with extensive adenopathy (Figure 2), warranting metastatic workup.
case_images: Contrast-enhanced coronal reformation of chest demonstrates a mass in left upper lobe, accompanied by mediastinal and bilateral supraclavicular lymphadenopathy.
case_images: 10.1177_2324709620918101-fig2.jpg
case_images: PMC7218319_01_10.1177_2324709620918101-fig2.jpg
case_images: fig2-2324709620918101
case_images: Computed tomography (CT) of the chest revealed small pericardial and left pleural effusions (Figure 1), and a large left upper-lobe paramediastinal mass with extensive adenopathy (Figure 2), warranting metastatic workup.
case_images: Sagittal computed tomography image through the left kidney with the circled region of interest demonstrating a density measurement of 49.78 Hounsfield units, confirming soft tissue infiltration of the perinephric space.
case_images: 10.1177_2324709620918101-fig3.jpg
case_images: PMC7218319_01_10.1177_2324709620918101-fig3.jpg
case_images: fig3-2324709620918101
case_images: CT of the abdomen revealed perinephric soft tissue surrounding both kidneys (Figure 3). CT head without and with intravenous contrast revealed metastases to the right frontal cortex and right posterior cerebellum with mild mass effect of the right lateral ventricle.
case_images: Anterior and posterior whole-body bone scan images demonstrate intense uptake in distal femurs and tibias, and to a lesser extent the radius distally in both arms. The predominant sites of involvement in the bone are the diametaphyseal regions. Uptake in the mid-thoracic spine, right of midline, was due to proliferative and abundant osteophytes, and uptake in the cervical spine was degenerative in nature.
case_images: 10.1177_2324709620918101-fig4.jpg
case_images: PMC7218319_01_10.1177_2324709620918101-fig4.jpg
case_images: fig4-2324709620918101
case_images: A total-body bone scan revealed abnormal uptake in the seventh vertebral body and increased uptake in both lower extremities (Figure 4).