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Francisco J. Ascaso, MD, Jesús M. Castillo, MD, Francisco J

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1 Bilateral Choroidal Metastases Revealing an Advanced Non-Small Cell Lung Cancer 
Francisco J. Ascaso, MD, Jesús M. Castillo, MD, Francisco J. García, MD, José A. Cristóbal, MD, Ana Fuertes, MD, Angel Artal, MD  The Annals of Thoracic Surgery  Volume 88, Issue 3, Pages (September 2009) DOI: /j.athoracsur Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 A right eye fundus examination showed 2 yellow choroidal metastases (arrows) along the temporal vascular arcades. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 A left eye funduscopy revealed a choroidal metastasis (arrows) at the posterior pole with associated serous retinal detachment. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 High-resolution computed tomography scan showed mediastinal (preaortics, aortopulmonary window, paratracheal, precarinal) and left hilar lymph nodes. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 A transbronchial biopsy specimen showed a poorly differentiated non-small cell lung carcinoma, immunohistochemically positive for cytokeratin 7 and thyroid transcription factor 1 (original magnification ×400). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Bone gammagraphy demonstrated multiple skeletal metastases.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

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