Question:

On the chest CT of a 75-year-old male with a history of colorectal cancer, you see multiple lung nodules of varying sizes. The finding suggests:
1. Metastases of the primary colorectal tumor by hematogenous spread.
2. Metastases of the primary colorectal tumor by direct extension.
3. Primary lung tumors.
4. Metastases of the primary colorectal tumor by lymphangitic spread.
5. Tuberculosis.





Answer:

The correct answer for the question "On the chest CT of a 75-year-old male with a history of colorectal cancer, you see multiple lung nodules of varying sizes. The finding suggests:" is:

1. Metastases of the primary colorectal tumor by hematogenous spread.



Explanation
Lung metastases of hematogenous origin are characterized on CT by multiple nodules of varying sizes, the so-called "cannonball lesions."



From the manuscript:
A Case of Colorectal Cancer with Metastasis to the Chest Wall and Subsequent Hematoma Formation
Radiology Case. 2013 Jan; 7(1):18-24


This article belongs to the Chest section.




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From the manuscript

A Case of Colorectal Cancer with Metastasis to the Chest Wall and Subsequent Hematoma Formation

Free full text article: A Case of Colorectal Cancer with Metastasis to the Chest Wall and Subsequent Hematoma Formation

Abstract
We report a rare case of a patient with colorectal cancer with chest wall metastases. The development of bleeding at the site of the metastasis ultimately resulted in the development of a hematoma, necessitating resection of the tumor along with part of the chest wall. Literature on chest wall metastases of colonic adenocarcinoma is reviewed and discussed. The teaching point is that a chest wall mass seen on imaging should prompt consideration of metastatic cancer in the differential diagnosis. The colon is a rare though reported primary site.






References



1. Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. International Journal of Cancer 2010; 127: 2893-2917
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


2. Ko FC, Liu JM, Chen WS, Chiang JK, Lin TC, Lin JK. Risk and patterns of brain metastases in colorectal cancer: 27-year experience. Dis Colon Rectum 1999; 42:1467-1471
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


3. O`Sullivan P, O`Dwyer H, Flint J, Munk PL, Muller N. Soft tissue tumours and mass-like lesions of the chest wall: a pictorial review of CT and MR findings. Br J Radiol 2007; 80(955):574-80
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


4. Hong WK. Chest Wall Tumors. In Merck manual online Retrieved from http:// http://www.merckmanuals.com/professional/pulmonary_disorders/tumors_of_the_lungs/chest_wall_tumors.html
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


5. Jiang L, Gao Y, Sheng S, Xu M, Lu L, Lu H. A first described chest wall metastasis from colon cancer demonstrated with (18)F-FDG PET/CT. Hell J Nucl Med 2011; 14(3):316-7
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


6. Cabibi D, Cipolla C, Valerio MR, Ingrao S. Metastatic seeding of colon adenocarcinoma manifesting as synchronous breast and chest wall localization: report of a case. Surg Today 2011; 41(2):242-6
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


7. Maheshwari V, Alam K, Khan SA, Upadhyay V, Beg MH. Metastatic adenocarcinoma rib presenting as chondrosarcoma. Indian J Chest Dis Allied Sci 2000; 42: 123-124
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


8. Choi JH, Kim SJ, Oh JY, Ryu SR, Shim KS, Kim KH, Baek SY, Choi HY, Lee SW, Kim MJ. A case of rectal cancer with sternal metastasis as initial presentation. J Korean Med Sci 1995; 10(4):303-6
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


9. Grover SB, Jain M, Dumeer S, Sirari N, Bansal M, Badgujar D. Chest wall tuberculosis - A clinical and imaging experience. Indian J Radiol Imaging 2011; 21(1):28-33
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


10. Bolintineanu S, Brad S, Brad V, Motoc A. The value of radio-imaging methods in the diagnosis of chest wall metastases. Rom J Morphol Embryol 2006; 47(1):79-81
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


11. Uecker M, Zhang S, Voit D, Karaus A, Merboldt KD, Frahm J. Real-time MRI at a resolution of 20 ms. NMR Biomed 2010; 23(8):986-94
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


12. Koh DM, Burke S, Davies N, Padley SP. Transthoracic US of the chest: clinical uses and applications. Radiographics 2002; 22(1):e1
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


13. Mayer RJ. Chapter 91. Gastrointestinal Tract Cancer In: Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J, eds
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine




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