Lung Metastasis Case 002
A young patient with a history of malignant melanoma presents with shortness of breath.
What do these clips show?
- Ultrasound of the chest shows innumerable, bilateral, small rounded, pleurally based solid nodules.
- These are typical of multiple pulmonary metastases and in this case would be clinically consistent.
- The list of likely differential diagnoses in an oncology patient prior to ultrasound would include pulmonary embolism, pneumonia, pleural effusion, and metastases.
- Assessment of the lung and heart at the bedside will rapidly differentiate these conditions and enable initiation of appropriate management early.
Related Clinical Cases
Associate Professor Curtin Medical School, Curtin University. Emergency physician MA (Oxon) MBChB (Edin) FACEM FFSEM Sir Charles Gairdner Hospital. Passion for rugby; medical history; medical education; and asynchronous learning #FOAMed evangelist. Co-founder and CTO of Life in the Fast lane | Eponyms | Books | Twitter |