Pulmonary sulcus metastases simulating intraabdominal malignancy in childhood tumors

James S Donaldson, John H. Miller*, Vincente Gilsanz

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Wilms tumor, the most common solid childhood malignancy, is frequently associated with pulmonary metastases, while hepatic metastases occur less frequently. Metastases to the lower lobes of the lungs, when deep in the costophrenic sulcus, may simulate an intraabdominal mass. The differentiation of these lesions is important both diagnostically and therapeutically. Three cases are presented in whom pulmonary sulcus metastases simulated abdominal lesions on computed tomography and could not be clearly localized as thoracic in origin on liver/spleen scintigraphy. Ultrasound evaluation was the most useful; however, integration with other imaging techniques was necessary to correctly identify these lesions as being of pulmonary origin.

Original languageEnglish (US)
Pages (from-to)271-274
Number of pages4
JournalJournal of Computed Tomography
Issue number3
StatePublished - Jul 1987


  • Computed tomography
  • Pulmonary metastases in children
  • Ultrasound
  • Wilms tumor

ASJC Scopus subject areas

  • Bioengineering
  • Radiology Nuclear Medicine and imaging


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