Acute Hypoxic Respiratory Failure in Advanced Hepatocellular Carcinoma Secondary to Diffuse Pulmonary Metastases and Malignancy-Associated Hypercoagulability: A Case Report

Figures

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  Figure 1. Chest X-ray demonstrating diffuse bilateral pulmonary opacities. Portable chest radiograph demonstrating diffuse bilateral nodular and confluent airspace opacities. Findings are concerning for widespread metastatic disease versus infectious etiology. The black arrow indicates a representative nodular opacity.

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  Figure 2. Axial CT chest demonstrating diffuse pulmonary nodules. Axial CT image of the chest showing innumerable bilateral pulmonary nodules with diffuse distribution, consistent with metastatic disease; the white arrow indicates a representative lesion.

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  Figure 3. CT scout image demonstrating extensive pulmonary involvement. CT scout image demonstrating diffuse bilateral pulmonary opacities consistent with extensive metastatic involvement, correlating with advanced disease burden. The black arrow indicates a representative pulmonary opacity.

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  Figure 4. Abdominal ultrasound demonstrating cirrhotic liver morphology. Coarse echotexture and nodular contour of the liver are consistent with cirrhosis; the black arrow indicates surface irregularity.

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  Figure 5. Color Doppler ultrasound demonstrating absence of portal vein flow consistent with portal vein thrombosis.