EURORAD ESR

Case 14895

Diffuse skin thickening of the breast as a rare form of presentation of lung cancer metastasis.

Author(s)
García Dubra S.
Rodríguez López C.
Vidal Filgueira F.
Mosquera Osés J.J.
Varela Romero J.R.

Complexo Hospitalario Universitario A Coruña
A Coruña, Spain; Email:sergiodubra@gmail.com
 
Patient
female, 55 year(s)
 
 
  • Figure 1
    Lateral neck radiograph

    Lateral projection of the cervical spine. Fracture of C4 that was probably pathological.

     
    Area of Interest: Bones; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Metastases;
     
     
  • Figure 2
    Sagittal and axial CT images (bone window)
     

    The CT scan confirmed the destructive injury in the vertebral body of C4, with extension to the left pedicle. Probably lytic lesions were found in the underlying vertebral bodies.

     
    Area of Interest: Bones; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Metastases;

    Blastic lesions in the right iliac bone.

     
    Area of Interest: Bones; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Metastases;
     
     
  • Figure 3
    Axial contrast-enhanced CT image (soft tissue window)
     

    (a) A spiculated mass in the upper lobe of the right lung, measuring approximately 46 x 35 x 24 mm together with a (b) diffuse skin thickening of the left breast.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    (a) A spiculated mass in the upper lobe of the right lung, measuring approximately 46 x 35 x 24 mm together with a (b) diffuse skin thickening of the left breast.

     
    Area of Interest: Breast; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    Ultrasound scan and mammography.
     

    (a) Ultrasound scan and (b,c) mammography of the left breast, revealing a pronounced diffuse skin thickening, although mainly in slanting sections associated with diffuse septal thickening.

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    (a) Ultrasound scan and (b,c) mammography of the left breast, revealing a pronounced diffuse skin thickening, although mainly in slanting sections associated with diffuse septal thickening.

     
    Area of Interest: Breast; Imaging Technique: Mammography; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    (a) Ultrasound scan and (b,c) mammography of the left breast, revealing a pronounced diffuse skin thickening, although mainly in slanting sections associated with diffuse septal thickening.

     
    Area of Interest: Breast; Imaging Technique: Mammography; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
Lateral projection of the cervical spine. Fracture of C4 that was probably pathological.
 
The CT scan confirmed the destructive injury in the vertebral body of C4, with extension to the left pedicle. Probably lytic lesions were found in the underlying vertebral bodies.
 
Blastic lesions in the right iliac bone.
 
(a) A spiculated mass in the upper lobe of the right lung, measuring approximately 46 x 35 x 24 mm together with a (b) diffuse skin thickening of the left breast.
 
(a) A spiculated mass in the upper lobe of the right lung, measuring approximately 46 x 35 x 24 mm together with a (b) diffuse skin thickening of the left breast.
 
(a) Ultrasound scan and (b,c) mammography of the left breast, revealing a pronounced diffuse skin thickening, although mainly in slanting sections associated with diffuse septal thickening.
 
(a) Ultrasound scan and (b,c) mammography of the left breast, revealing a pronounced diffuse skin thickening, although mainly in slanting sections associated with diffuse septal thickening.
 
(a) Ultrasound scan and (b,c) mammography of the left breast, revealing a pronounced diffuse skin thickening, although mainly in slanting sections associated with diffuse septal thickening.
 
 
 
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