File:Breast metastases from facial malignant melanoma (Radiopaedia 60316-67975 B 45).jpg

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Breast_metastases_from_facial_malignant_melanoma_(Radiopaedia_60316-67975_B_45).jpg ‎(508 × 454 pixels, file size: 100 KB, MIME type: image/jpeg)

Summary:

Description
  • Radiopaedia case ID: 60316
  • Image ID: 38902590
  • Image stack position: 45/67
  • Plane projection: Coronal
  • Aux modality: C+ portal venous phase
  • Modality: CT
  • System: Hepatobiliary
  • Findings: Bilateral breast masses are seen, right larger than left with hypodense central necrotic areas. Multiple and bilateral lobulated masses of both axillary regions suggestive of enlarged lymph nodes. Another soft tissue mass is seen in the left costovertebral region encasing the descending thoracic aorta as well as the segmental and subsegmental bronchi of the left lower lobe with mass effect on the heart cavities. Multiple subcutaneous and intramuscular nodules of the chest / abdominal wall and in front of the spinous process of T11 as well as a large soft tissue mass of the right scapular region. Large soft tissue mass of the left paraspinal muscles extending up to L4 level. Note a large soft tissue mass of the left lower chest wall invading the pleura. Bilateral pulmonary embolism involving the right pulmonary artery and left lobar arteries with extension into the segmental branches. Multiple and bilateral pulmonary nodules, the largest in the right lower lobe. Multiple intra-peritoneal nodules seen in perihepatic region and intramesenteric, the largest is in the pelvic region. Multiple necrotic enlarged lymph nodes seen in the left external iliac and inguinal regions. Retroperitoneal enlarged lymph nodes at the renal hilum displacing the left renal vein anteriorly and compressing the renal pelvis with dilatation of the calyceal cavities. No bone metastases.
Date Published: 19th May 2018
Source https://radiopaedia.org/cases/breast-metastases-from-facial-malignant-melanoma-1
Author Dr Ammar Haouimi
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

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

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