RADIOLOGY Iranian Journal of www.iranjradiol.com CHEST IMAGING An Unusual Case of Pulmonary Adenocarcinoma with Multiple and Extraordinary Metastases

A B S T R A C T Pulmonary adenocarcinoma is one of the major types of lung cancers in which metastasis is not uncommon. Hereby, we report a case of pulmonary adenocarcinoma with multiple muscular, cutaneous, pancreatic and peritoneal metastases. Actually, all these features oc-curring in one patient makes it an extraordinary case. A rare anatomic variation, double inferior vena cava (IVCs), was another rare manifestation in this case. Implication for health policy/practice/research/medical education: This case report notifies the possibility of pulmonary adenocarcinoma in confrontation with such unusual metastases