Micro-pleural Metastasis Without Effusion: CT and US Findings.

Na,  Hyoung Il; Yoo,  Seung Min; Kim,  Yang Soo; Lee,  Hwa Yeon; Song,  In Sup; Shim,  Hyung Jin; Kwak,  Byung Kook; Shin,  Jong Wook

Journal of Korean Society of Medical Ultrasound 2004;23(3): 169-172.

Hyoung Il Na, Seung Min Yoo, Yang Soo Kim, Hwa Yeon Lee, In Sup Song, Hyung Jin Shim, Byung Kook Kwak, Jong Wook Shin

¹Department of Radiology, Chung-Ang University, Korea.
²Department of Internal Medicine, Chung-Ang University, Korea.

Published online: September 1, 2004.

ABSTRACT

Pleural metastasis from malignancy is commonly combined with effusion. We report the ultra-sonographic and CT findings in a rare case of micro-pleural metastasis without effusion.A 34-year-old male patient with lung cancer underwent video-assisted thoracoscopic surgery (VATS), prior to open thoracotomy. VATS revealed multiple metastatic micronodules on the pleura, which were overlooked on the preoperative CT scan. The HRCT images and chest ultrasonograms showed clear evidence of pleural micro-nodules.

Keywords: Pleura, fluid; Pleura, CT; Pleura, US

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