Bilateral choroidal metastases from lung adenocarcinoma
The present case has been reported in the journal Case Reports in Oncology. In the orbital examination, a 67-year-old male patient with complaints of blurry vision showed subretinal fluid and choroidal folding, and these findings were considered as metastatic lesions. The chest X-ray ordered due to the patient’s complaints of persistent cough for a couple of months showed a right hilar mass.

On thorax computed tomography (CT), multiple nodular lesions in bilateral lungs and left pleural effusion was detected, and a transbronchial bronchoscopic biopsy of the lower posterior lobe of the left lung was determined as primary lung adenocarcinoma.

Positron emission tomography (PET)-CT showed a primary involvement in the medial segment of the left lung and widespread hypermetabolic nodules in bilateral lungs, metastatic mediastinal lymphadenopathies and widespread skeletal metastases, the majority in the vertebral column, pelvic bones and in the proximal part of the bilateral femurs.

On repeat fundus examination, yellow-white choroidal swelling with irregular borders in the right eye, yellow choroidal lesions and serous retinal detachment in left eye (fig 3) was observed. In optical coherence tomography (OCT) images, retinal swelling and choroidal irregularities were noticed. Orbital MRI showed plaques of a maximum thickness of 2 mm with pathologic contrast enhancement in posterolateral regions of the bilateral globes.

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