Cavitating pulmonary metastases from a renal cell carcinoma

  • Kulothungan Gunasekaran | stankuloth@gmail.com Division of Pulmonary Diseases and Critical Care, Yale-New Haven Health Bridgeport Hospital, Bridgeport, CT, United States.
  • Berty Baskaran Division of Pulmonary Diseases and Critical Care, Yale-New Haven Health Bridgeport Hospital, Bridgeport, CT, United States.
  • Mandeep Singh Rahi Division of Pulmonary Diseases and Critical Care, Yale-New Haven Health Bridgeport Hospital, Bridgeport, CT, United States.
  • Daniel Rudolph Division of Pulmonary Diseases and Critical Care, Yale-New Haven Health Bridgeport Hospital, Bridgeport, CT, United States.
  • Jay Parekh Department of Internal Medicine, Yale-New Haven Health Bridgeport Hospital, Bridgeport, CT, United States.

Abstract

Cavitary lung lesions are quite common findings on chest imaging and often pose a diagnostic challenge to the clinicians. We describe a case of a 75-year-old male who presented to the emergency room with hemoptysis. Computed tomography of the chest demonstrated multiple cavitary pulmonary nodules with peripheral groundglass opacities. Bronchoscopy did not reveal any active bleeding source, and washings were negative for malignancy and infectious cause. Computed Tomography guided biopsy of the left lung nodule showed metastatic carcinoma consistent with papillary renal cell carcinoma. This case highlights the unusual presentation of metastatic renal cell carcinoma.

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Published
2020-05-11
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Issue
Section
Case Reports
Keywords:
Renal cell carcinoma, cavitation.
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How to Cite
Gunasekaran, K., Baskaran, B., Rahi, M. S., Rudolph, D., & Parekh, J. (2020). Cavitating pulmonary metastases from a renal cell carcinoma. Clinics and Practice, 10(1). https://doi.org/10.4081/cp.2020.1234