Metastasis from Head and Neck Cancer
Presenting as Lymphangitis
Images a and b show the initial presentation of disease characterised by right upper lobe changes in a few secondary lobules characterised by thickening of the septa and prominence of the centrilobular nodules. 3 months later (c and d) the patient presented with a cough A large right upper lobe consolidative mass and progressive involvement of more secondary lobules with thickening of interlobular septa is noted. These findings likely reflect lymphangitis carcinomatosa
Ashley Davidoff MD TheCommonVein.net 013Lu 13606cL