Pancreatic cancer presenting with pulmonary cannonball lesions

Balraj Singh, MD; Sydney Fasulo, MD; Parminder Kaur, MD; Beenish Faheen, MD; Sarah Ayad, MD; Sachin Gupta, MD; Michael Maroules, MD

Radiology Case Reports (May 2021)

Pancreatic cancer presenting with pulmonary cannonball lesions

Balraj Singh, MD,
Sydney Fasulo, MD,
Parminder Kaur, MD,
Beenish Faheen, MD,
Sarah Ayad, MD,
Sachin Gupta, MD,
Michael Maroules, MD

Affiliations

Balraj Singh, MD: Hematology Oncology, Saint Joseph's University Medical Center, 703 Main street, Paterson, NJ 07503, USA; Corresponding author.
Sydney Fasulo, MD: Hematology Oncology, Saint Joseph's University Medical Center, 703 Main street, Paterson, NJ 07503, USA
Parminder Kaur, MD: Hematology Oncology, Saint Joseph's University Medical Center, 703 Main street, Paterson, NJ 07503, USA
Beenish Faheen, MD: Hematology Oncology, Saint Joseph's University Medical Center, 703 Main street, Paterson, NJ 07503, USA
Sarah Ayad, MD: Hematology Oncology, Saint Joseph's University Medical Center, 703 Main street, Paterson, NJ 07503, USA
Sachin Gupta, MD: Internal Medicine, Department of Internal Medicine, Tower Health Reading Hospital, West Reading, PA, USA
Michael Maroules, MD: Hematology Oncology, Saint Joseph's University Medical Center, 703 Main street, Paterson, NJ 07503, USA

Journal volume & issue: Vol. 16, no. 5
pp. 1179 – 1182

Abstract

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Cannonball lesions are numerous, well-circumscribed, round pulmonary lesions and may be identified on plain radiograph or advanced imaging. This morphology can be associated with infectious causes, rheumatologic disease and metastatic disease. Classically, when cannonball lesions are associated with metastatic disease, they are seen in renal cell carcinoma and choriocarcinoma. We report a case of a 62-year-old Middle Eastern male who presented with shortness of breath, chest pain and fatigue and was found to have bilateral multiple pulmonary cannonball lesions and mass in the pancreas. Biopsy of one the lung lesions was consistent with pancreatic cancer. Our case adds to the limited literature available regarding cannonball lung lesions in the setting of pancreatic cancer. Health care providers should be aware of the various etiologies of cannonball lesions.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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