Amer Saleem, Enson Cherian Thomas, Alexander Wilkinson, Mohammed Azher, Nayyar Saleem.
Bilateral miliary shadowing on chest x-ray.
J Coll Physicians Surg Pak Jan ;23(12):902-3.

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.

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