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Figure 1: (a) Chest X-ray showed infiltration over the left lung field; (b) high resolution computed tomography scan revealed fibrosis and pleural nodular thickening in upper and lingual lobes of left lung; (c)FDG positron emission tomography/computed tomography fused imaging revealed a hypermetabolic lesion (measuring 2.0 cm) in the upper lobe of the left lung attached to the pleura. There was left pleural thickening with high grade FDG uptake, compatible with multifocal pleural metastasis (C1); (d) multiple FDG-avid metastatic lymphadenopathies in the mediastinal and left pulmonary hilar regions, as well as FDG-avid metastatic tumors in bilateral hepatic lobes were also seen on whole-body imaging

Figure 1: (a) Chest X-ray showed infiltration over the left lung field; (b) high resolution computed tomography scan revealed fibrosis and pleural nodular thickening in upper and lingual lobes of left lung; (c)FDG positron emission tomography/computed tomography fused imaging revealed a hypermetabolic lesion (measuring 2.0 cm) in the upper lobe of the left lung attached to the pleura. There was left pleural thickening with high grade FDG uptake, compatible with multifocal pleural metastasis (C1); (d) multiple FDG-avid metastatic lymphadenopathies in the mediastinal and left pulmonary hilar regions, as well as FDG-avid metastatic tumors in bilateral hepatic lobes were also seen on whole-body imaging