대한흉부영상의학회 Weekly Chest Cases

Courtesy of Yeseul Jo, Sarah Kyongmin Beck, Dae Hee han, Jung Im Jung, Myoeng Im Ahn / Seoul St. Mary’s hospital
Age/Sex 73 / M
Chief Complaintepigastric pain

Diagnosis: Airspace metastasis of from pancreatic cancer
Radiologic Findings: Chest radiograph shows no abnormality. Chest CT shows focal subpleural airspace opacity in LLL with slow, gradual enlargement over 2 years.
Brief Review: PET-CT scan shows avid FDG uptake in the left lower lobe lung lesion and focal FDG uptake in the head portion of the pancreas consistent with pancreatic head cancer with airspace metastasis in LLL.
Lung metastases from pancreatic adenocarcinoma are not uncommon, with an incidence of 27% to 50%. Cancer cell grow by replacing alveolar epithelial cells in a fashion mimicking lepidic predominant adenocarcinoma.
The airspace pattern is classified into the following four types: (a) airspace nodules (b) parenchymal consolidation (c) focal or extensive ground glass opacity (d) nodules with a halo sign.
These features are all indistinguishable from the radiological features of lepidic predominant adenocarcinoma.
References: 1. Efe Ozkan et al. Pictorial essay: multimodality imaging of metastases from pancreatic ductal adenocarcinoma. Clin Imaging. 2010 Jul-Aug;34(4):277-87
Keywords: Lung, airspace metastasis, metastasis from pancreatic cancer,

- , Korea (South) BO RAM KIM
- Pusan national university hospital , Korea (South) MIRI JEONG
- Chungbuk National University Hospital , Korea (South) JUNGHWAN KIM
- The University of Tokyo Hospital , Japan RYO KUROKAWA
- Chungbuk national university , Korea (South) Yong Hun Kim
- Samsung Medical Center , Korea (South) KYOWON GU
- Diskapi Yildirim Beyazit Hospital, Ankara , Turkey MERIC TUZUN
- Chungbuk national university hospital , Korea (South) Miran Yeon Yeon
- Chonnam National University Hospital, Radiology department , Korea (South) Park byung jin
- Fortis hospital , Mohali , India SHALEEN RANA
- , Korea (South) park ji hoon
- University of Tsukuba , Japan Toshitaka Ishiguro
- University of Utah , United States AKIHIKO SAKATA
- Chungbuk National University Hospital , Korea (South) HYEONMI RYU

- Yokohama-asahi-chuo-general hospital , Japan KYOKO NAGAI
- Chungbuk National University Hospital , Korea (South) YEONGTAE PARK
- Kizawa Memorial Hospital , Japan Tomohiro Ando
- McGill University Health Center , Canada Alexandre Semionov
- IRSA LA ROCHELLE , France, Metropolitan BIGOT
- Korea University Guro Hospital , Korea (South) Bit Na Park
- Kyeongpook National University Hospital , Korea (South) CHUNGEUN LIM
- Myongji Hospital , Korea (South) KYUNGHO KIM
- Asan Medical Center , Korea (South) HYUN JUNG KOO
- Chungbuk National University Hospital , Korea (South) CHANGHOON OH
- Onomichi municipal hospital , Japan Hirofumi Mifune
- The University of Tokyo Hospital , Japan TOSHIHIRO FURUTA
- Asan Medical Center , Korea (South) JOOAE CHOE
- Gifu University Hospital , Japan Yo Kaneko
- Chungbuk National University Hospital , Korea (South) LEE JUNG HWAN
- Aerospace medical group, Air Force Education and Training Command , Korea (South) Donghwan Kim
- VENKATESHWAR HOSPITAL NEW DELHI , India RAKESH BHATIA
- Korea university medical center, guro hospital , Korea (South) Lee kyu chong
- Ichinomiya Nishi Hospital , Japan Takao Kiguchi
- Diagnose.me (BV) / Royal Perth Hospital , Australia YURANGA WEERAKKODY

대한흉부영상의학회 Korean Society of Thoracic Radiology