File:Acute hemorrhage into adrenal metastasis from NSCLC (Radiopaedia 43135-46429 Axial C+ arterial phase 2).jpg

Summary:

• Radiopaedia case ID: 43135
• Image ID: 19780949
• Image stack position: 2/13
• Plane projection: Axial
• Aux modality: C+ arterial phase
• Modality: CT
• System: Urogenital
• Findings: Pre-chemotherapy CT performed 10 days earlier shown in series 2 and 4. Irregular mass in the right lung apex (arrow) is associated with a large right adrenal mass lesion with central low density indicative of necrosis (arrow).  Right lung base is clear.  Subsequent CTPA shows marked right lung atelectasis with pleural fluid with a dramatic increase in size of the metastasis with central high denisty indicative of hemorrhage (arrow).  This explains the right sided pleuritic symptoms and hypotension.  No signs of PE.
• Published: 25th Feb 2016
• Source: https://radiopaedia.org/cases/acute-haemorrhage-into-adrenal-metastasis-from-nsclc
• Author: Chris O'Donnell
• Permission: http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)