'Cannon ball' pulmonary metastases.

To cite: Ammannagari N, Polu V. BMJ Case Reports Published online: [please include Day Month Year] doi:10.1136/bcr-2012008158 DESCRIPTION A 62-year-old woman, with no significant medical history, was found unresponsive at home. Patient was intubated and rushed to our emergency room. She was found to be in renal failure with hyperkalaemia. Chest x-ray (figure 1) revealed multiple large pulmonary nodules highly suggestive of pulmonary metastases. CT scan of the thorax (figure 2), abdomen and pelvis (figure 3) revealed a large pelvic mass contiguous with bladder, with bilateral hydronephrosis and multiple large pulmonary masses with cavitation. Biopsy of the pelvic mass confirmed the diagnosis of high-grade transi-