Type:
Educational Exhibit
Keywords:
Abdomen, CT, Contrast agent-intravenous, Cancer
Authors:
D. Paul, M. Feeney
DOI:
10.26044/ranzcr2022/R-0015
Conclusion
The pulmonary BML remained stable three months post biopsy. She will undergo progesterone therapy for the uterine adenocarcinoma with the possibility of hysterectomy if lung burden increases. This will be supplemented by monitoring for the mediastinal mass. Managing an already rare disorder such as BML pose clinical conundrums and decision-making dilemmas. When this is compounded by an atypical presentation, initial diagnoses can be deceiving and requires a multidisciplinary approach that can delve into other diagnostic/management algorithms. Our atypical presentation of BML serves as a clinical teaching tool for radiologists and other clinicians. It highlights the importance of exploring lung bases in CTAP when querying malignant spread from a gynaecological malignancy and subsequent follow up chest imaging and nuclear medicine studies in fleshing out the diagnosis.