An 86-year-old male presented with lethargy, weight loss and generalised back pain. He was an ex-smoker (60 pack-years) and was treated by the cardiologists for angina. He has also been diagnosed in the last 3 months with superficial bladder carcinoma for which he was in the middle of a course of BCG bladder injections. A CT (Images 1a, b and 2) was requested to identify possible metastases as the cause of his symptoms.
KeywordsInternal Medicine Toxic Effect Thoracic Surgery Maximum Intensity Systemic Effect
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