56 year old woman with history of breast cancer operated on 3 years ago complained of cough, breathlessness, malaise, weakness and loss of appetite.
The lung is riddled with multiple nodules of variable sizes. Cut surface shows pale firm nodules with infiltrative borders and foci of necrosis. Some of the nodules have coalesced to larger masses but no single predominant nodule is seen.
Unremarkable lung parenchyma is seen between the nodules.