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Images in Thorax
Asymptomatic muscle metastasis from pulmonary adenocarcinoma
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  1. Ignacio Banzo,
  2. Isabel Martínez-Rodriguez,
  3. Remedios Quirce,
  4. Julio Jimenez-Bonilla,
  5. Jose M Carril
  1. Servicio de Medicina Nuclear, Hospital Universitario Marqués de Valdecilla, Universidad de Cantabria, Santander, Spain
  1. Correspondence to Dr Ignacio Banzo, Facultad de Medicina, Universidad de Cantabria, Av. Valdecilla s/n, 39008 Santander, Spain; mnubmj{at}humv.es

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A 62-year-old never-smoker woman was admitted with a 2-month history of progressive dyspnoea. Her CT scan showed a 3×4 cm lung mass in the right upper lobe. Tumour biopsy revealed an adenocarcinoma. Integrated [18F] fluorodeoxyglucose positron emission tomography (FDG-PET)/CT scan for staging demonstrated hypermetabolic FDG uptake in the lung mass (figure 1A) and an unexpectedly focal FDG uptake in the left paraspinal muscle (figure …

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