Roland Talanow (Cleveland/USA)  

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12 Years  

Male  

Thorax-Lung  

neoplastic  

12 year-old boy, who has been treated for one year for an osteosarcoma in the right tibia with lower leg resection and chemotherapy.

For 10 days, low fever (38"C), after a minor viral infection (according to the mother). At the moment, no cough, no pulmonary symptoms.  

In an ostogenic sarcoma, lung metastases are common, particularly multiple metastases. Smaller metastases are often not able to be seen on X-ray; on CT they are certainly detectable at a size of 2-3 mm (in MRI larger than 5 mm).  

<- view X-Ray 1

X-ray 1: Magnified p.a. view of the chest. A ca. 4 mm opacity projects over the right upper lung zones that could not be reproduced on the lateral view. No further opacities were seen.




<- view CT 1

CT 1: on this selected slice, there are at least 3 round nodules on the right and one small nodule on the left (arrows). Altogether, there were more than 30 tiny nodules found in all lobes of both lungs.

 

Surgery / Histo  

Pneumonia, particularly fungal pneumonia.  

N/A  

N/A  

N/A  

N/A  

Lung, metastases, Osteosarcoma, lung metastases, chemotherapy, leg resection, ostogenic sarcoma, child, childhood, pediatric radiology  

Roland Talanow. Lung metastases from osteosarcoma. PedRad [serial online] vol 2, no. 11.
URL: www.PedRad.info/?search=20021123184100