A 45-year-old woman was admitted to the hospital for further evaluation of a dry cough and generalized malaise of seven months' duration. Four years ago, the patient had had stage II carcinoma of the cervix that was treated with cobalt therapy and radium-seed implantation. Biannual chest roentgenograms during the interval had been interpreted as normal.Physical examination showed no abnormalities, except for some nondiscrete small lymph nodes palpable in the anterior area of the neck. Tuberculin test as well as skin and serologic tests for fungal diseases were negative. The remainder of the laboratory examinations gave normal results. Admission chest roentgenogram is shown in the Figure.
Carcinoma of the cervix with cavitary metastases to the lungs.
The Figure shows three nodular lesions in the lungs, two in the left lung and one in the right, each approximately 2 1/2 cm in diameter. All lesions show central cavitation