27-year-old male with history of squamous cell carcinoma of the right buccal mucosa with new right apical lung mass LUNGS AND PLEURA: Demonstration of a right apical pleural based heterogeneously enhancing mass (image 17 series 3) measuring 37 mm x 23 mm. Adjacent satellite irregularly marginated nodule (image 23, series 5) measures 9 mm x 8 mm.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy can be identified. Port-A-Cath with its tip in the SVCCHEST WALL: Soft tissue subcutaneous edema is identified within the visualized portions of the lower neck on the right.Right chest port.UPPER ABDOMEN: Hepatomegaly. Hypodense 24 mm x 23 mm mass in left kidney with CT numbers higher than expected for a simple cyst. Dedicated MRI or CT imaging of the kidneys is recommended.
1.Right apical pleural based mass with adjacent satellite nodule probably represents metastatic disease. However, location, is somewhat unusual for metastatic disease and raises the question of a second primary.2.Well-defined, hypodense lesion in the left kidney, with CT numbers higher than expected for simple cyst. Dedicated imaging of the kidney is recommended. 3.Hepatomegaly without evidence of an intrahepatic lesion.