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Pulmonary benign metastasising leiomyomas presenting as fluid-containing masses on CT in a patient with two unrelated malignancies

Departments of ¹ Diagnostic Imaging and ² Pathology Meir Hospital, Sapir Medical Center, Kfar-Saba, 44281, Israel, affiliated to the Sackler school of Medicine, Tel-Aviv University, Tel-Aviv, Israel

View larger version (102K): [in a new window]   Figure 1. A 49-year-old woman presented with neck mass. (a) A chest radiograph reveals numerous well-defined pulmonary masses ranging in size up to 13 cm. Enhanced helical CT with (b) soft-tissue and (c) lung window settings the lung bases show large, multiloculated fluid filled masses with internal septation (black arrow), with calcified septum in one (white arrow).

View larger version (107K): [in a new window]   Figure 2. A 64-year-old asymptomatic woman, after hysterectomy for leiomyoma, was referred for chest CT for incidental lung nodules detected on a routine chest radiograph. Contrast enhanced CT at the lung bases shows two well-circumscribed lung nodules (arrows). The larger nodule is composed of fluid density, measuring 14 Hounsfield units (thicker arrow).