Metastatic rare nodule and Pleural Effusion from papillary thyroid cancer
A male patient, 47 years old, underwent surgery for papillary thyroid cancer in the past. He developed fever, cough, malaise and headache. A CT contrast-enhanced scan of the thorax was performed (BEFORE the chemotherapy treatment) and utilising this post-contrast tomogram in arterial phase, axial plane (lung window) we determined pleural cavities with effusions, right in the laminar layer, left of the largest layer thickness of about 35 mm (attenuation values of the fluid 16-18 HU) with consequent compression of the surrounding lung parenchyma, also right posterobasal adhesive changes. Rare nodular changes of subcentimetric dimensions (less than 10 mm in shorter axial diameter) were seen in the pulmonary parenchyma immediately above the adhesive right posterobasal, left above the zone of effusion and compressive atelectasis. Based on the primary diagnosis, it was concluded that the malignant process has spread to the lungs and pleura. The patient was prescribed chemotherapy for newly formed metastases.
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