http://www.appliedradiology.com RSS Feed on Applied Radiologyhttp://www.appliedradiology.com//Issues/2007/10/Cases/Hemoptysis-due-to-pulmonary-metastasis-of-renal-cell-carcinoma.aspx<p>The patient is 73-year-old African American man with a 4-year history of transitional cell carcinoma of the left renal pelvis and a left nephrectomy. He had extensive metastases to the lungs, liver, ureter, and bladder following chemotherapy. He presented with complaints of intermitent hemoptysis for approximately 2 weeks. His vital signs were stable at the time of admission, and laboratory studies showed a normal coagulation profile and platelet count; hemoglobin (Hb) was 11.4, and mean hematocrit (Hct) was 36.7. Computed tomography (CT) scans of the chest, abdomen, and pelvis revealed extensive tumor in the right lung and multiple metastatic lesions in both the lungs and the liver (Figure 1). During his hospital stay, the patient developed massive hemoptysis of approximately 400 to 600 mL of blood with a drop in Hb/Hct to 9.7/29.9. The patient was referred for an emergency pulmonary angiogram. </p>Thursday, 14 Jan 2010 13:18:09 GMT