title: Bilateral miliary shadowing on chest X-ray.
abstract: A patient presented with recent onset of increasing shortness of breath, weight loss and low-grade fever. His chest X-ray revealed bilateral miliary shadowing. He was investigated with CT-scanning of thorax. Later, a biopsy from supra-clavicular node and its immunocytochemistry studies confirmed metastasis from primary lung cancer. Primary lung cancer with miliary pulmonary metastases is a rare happening and is mostly associated with lung adenocarcinoma.
authors.affiliation: Department of Respiratory Medicine, Bedford Hospital NHS Trust, Bedford, UK.
authors.forename: Amer
authors.initials: A
authors.lastname: Saleem
authors.forename: Enson Cherian
authors.initials: EC
authors.lastname: Thomas
authors.forename: Alexander
authors.initials: A
authors.lastname: Wilkinson
authors.forename: Mohammed
authors.initials: M
authors.lastname: Azher
authors.forename: Nayyar
authors.initials: N
authors.lastname: Saleem
mesh_terms: D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D000077192:Adenocarcinoma of Lung; D000970:Antineoplastic Agents; D001706:Biopsy; D017809:Fatal Outcome; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D016626:Shadowing Technique, Histology; D014057:Tomography, X-Ray Computed; D014391:Tuberculosis, Miliary / Q000150:complications / Q000000981:diagnostic imaging*
chemical_list: D000970:Antineoplastic Agents