Pulmonary metastases from pancreatic cancer are rare and may present with various radiologic patterns. We report the case of a 67-year-old female patient with no history of tobacco or alcohol use, with type 2 diabetes mellitus and hypertension under treatment for the past two years. She presented with epigastric pain, postprandial vomiting, chronic dry cough, subjective fever, and general health deterioration. Abdominal CT, MR cholangiopancreatography (MRCP), and endoscopic ultrasound (EUS) revealed a pancreatic body mass. Histopathological examination confirmed a well to moderately differentiated pancreatic ductal adenocarcinoma. Chest CT demonstrated diffuse ground-glass opacities with a "crazy paving" pattern; some areas showed consolidation with bilateral mixed-density nodules and micronodules. A percutaneous transthoracic needle biopsy confirmed pulmonary metastases from a well-differentiated mucinous tubular pancreatic adenocarcinoma.
Msika S.*, Mouhssine N., Arfaoui H., Sqalli Z., Bamha H., Bougteb N., EL Khattabi W., Afif M. H. (Wed,) studied this question.