Lung mets from Unknown primary

A male aged 38 yrs who is a labourer Chief Complaints Dyspnea Chest Pain Cachexia Anorexia Physical Examination Auscultation - B/L crepts(+) Investigations Xray Chest

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Cannon ball secondaries in both lungs ? Primary . Biopsy of a nodule and immuno cyto history chemistry can give an idea about primary. PETCT can help . But with such extensive lung metastasis, this may be a futile academic exercise

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Plenty of cannonballs opacities seen bilaterally yes these are mets and secondaries Needs to look for primary may be duodenum pancreas or liver

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It is a secondary metastasis lesion

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Metastasis

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