A Rare Case of Penile Metastases as a Harbinger of Primary Pulmonary Adenosquamous Carcinoma

Figure 3

Axial noncontrast CT image in the lung window (a) demonstrates a spiculated mass with an area of central cavitation in the right upper lobe abutting the mediastinum (solid arrow) with imaging features suggesting a primary pulmonary squamous cell carcinoma. The corresponding PET/CT image (b) demonstrates hypermetabolic activity (solid arrow) within this lesion. Axial noncontrast CT image in the bone window (c) demonstrates a soft tissue lesion centered in the right subscapularis muscle with destruction of the adjacent bony glenoid (arrow). Corresponding PET/CT imaging (d) demonstrates hypermetabolic activity (solid arrow) within this lesion. Axial noncontrast CT image in the soft tissue window (e) demonstrates a solid lesion in the left adrenal gland (solid arrow) with the corresponding PET/CT image (f) demonstrating hypermetabolic activity (solid arrow) within this lesion.

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