Thoracic Metastases From Primary Hepatobiliary and Pancreatic Malignancies: Predictable Patterns of Metastatic Spread

This article reviews common and uncommon patterns of thoracic metastatic disease in primary hepatobiliary and pancreatic malignancies that are often overlooked or improperly diagnosed because of atypical location or imaging appearance. An understanding of the pathophysiology and routes of tumor spre...

Full description

Saved in:
Bibliographic Details
Published in:Journal of thoracic imaging Vol. 30; no. 6; pp. W82 - W91
Main Authors: Holwerda, Ross A, Walker, Christopher M, Rosado-de-Christenson, Melissa L, Martínez-Jiménez, Santiago, Kunin, Jeffrey R, Pettavel, Paul P, Betancourt, Sonia L
Format: Journal Article
Language:English
Published: United States Copyright Wolters Kluwer Health, Inc. All rights reserved 01-11-2015
Subjects:
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Abstract This article reviews common and uncommon patterns of thoracic metastatic disease in primary hepatobiliary and pancreatic malignancies that are often overlooked or improperly diagnosed because of atypical location or imaging appearance. An understanding of the pathophysiology and routes of tumor spread aids in tailoring a search pattern allowing for more accurate evaluation of disease activity.
AbstractList This article reviews common and uncommon patterns of thoracic metastatic disease in primary hepatobiliary and pancreatic malignancies that are often overlooked or improperly diagnosed because of atypical location or imaging appearance. An understanding of the pathophysiology and routes of tumor spread aids in tailoring a search pattern allowing for more accurate evaluation of disease activity.
Author Walker, Christopher M
Martínez-Jiménez, Santiago
Holwerda, Ross A
Betancourt, Sonia L
Kunin, Jeffrey R
Pettavel, Paul P
Rosado-de-Christenson, Melissa L
AuthorAffiliation Department of Radiology, University of Missouri-Kansas City †Department of Radiology, Thoracic Imaging Division ‡Department of Pathology, Saint Luke’s Hospital, Kansas City, MO §Department of Radiology, Thoracic Imaging Division, MD Anderson Cancer Center, Houston, TX
AuthorAffiliation_xml – name: Department of Radiology, University of Missouri-Kansas City †Department of Radiology, Thoracic Imaging Division ‡Department of Pathology, Saint Luke’s Hospital, Kansas City, MO §Department of Radiology, Thoracic Imaging Division, MD Anderson Cancer Center, Houston, TX
Author_xml – sequence: 1
  givenname: Ross
  surname: Holwerda
  middlename: A
  fullname: Holwerda, Ross A
  organization: Department of Radiology, University of Missouri-Kansas City †Department of Radiology, Thoracic Imaging Division ‡Department of Pathology, Saint Luke’s Hospital, Kansas City, MO §Department of Radiology, Thoracic Imaging Division, MD Anderson Cancer Center, Houston, TX
– sequence: 2
  givenname: Christopher
  surname: Walker
  middlename: M
  fullname: Walker, Christopher M
– sequence: 3
  givenname: Melissa
  surname: Rosado-de-Christenson
  middlename: L
  fullname: Rosado-de-Christenson, Melissa L
– sequence: 4
  givenname: Santiago
  surname: Martínez-Jiménez
  fullname: Martínez-Jiménez, Santiago
– sequence: 5
  givenname: Jeffrey
  surname: Kunin
  middlename: R
  fullname: Kunin, Jeffrey R
– sequence: 6
  givenname: Paul
  surname: Pettavel
  middlename: P
  fullname: Pettavel, Paul P
– sequence: 7
  givenname: Sonia
  surname: Betancourt
  middlename: L
  fullname: Betancourt, Sonia L
BackLink https://www.ncbi.nlm.nih.gov/pubmed/26488210$$D View this record in MEDLINE/PubMed
BookMark eNpdkF1LwzAUhoMoblP_gUgvvenMR9uk3ok4N5g4dF6XLDl11ayZScvw35u6TcUQCIe8z3vgGaDD2taA0DnBQ4JzfvU0nwzx30NEfoD6JGVZjCnjh6iPhWBxmueshwbev4UIZ4k4Rj2aJUJQgvuonS-tk6pS0QM00ocLPho5u4pmrlpJ9xmNYS0bu6hM1U2y1tFM1sqBbDpImuq1DnMF_jogoCvVyIWBEGoacLWPbLmv7oDndSD1KToqpfFwtntP0Mvobn47jqeP95Pbm2msGCYszpQqMw4S6xzjTAOQJMmooFizkqZal6XSWpIcwg_VOVEJU4LyjMsFVbhM2Qm63Paunf1owTfFqvIKjJE12NYXhFOeME4EDdFkG1XOeu-gLNZbAQXBRSe8CMKL_8IDdrHb0C5WoH-gveHf3o01QYh_N-0GXLEEaZrld1_KBI0pJikhYYq7Ysa-ADyWjtg
Cites_doi 10.1016/j.clinimag.2009.06.026
10.1148/rg.284075148
10.1067/msy.2002.119498
10.1016/S0039-6060(96)80043-2
10.1007/s12029-012-9428-8
10.3346/jkms.2013.28.5.750
10.2214/ajr.179.4.1790897
10.2214/ajr.180.1.1800121
10.3322/caac.21254
10.1053/j.gastro.2008.05.047
10.1148/radiology.216.3.r00se24698
10.2214/ajr.177.5.1771151
10.1148/radiographics.21.2.g01mr17403
10.2169/internalmedicine.37.292
10.1111/j.1440-1746.2010.06270.x
10.1016/j.rcl.2005.02.006
10.1002/1097-0142(19901115)66:10<2174::AID-CNCR2820661022>3.0.CO;2-A
10.2214/ajr.180.6.1801671
10.1016/j.amjcard.2008.04.042
10.1007/s00261-010-9608-6
10.1016/S0002-9343(03)00305-X
10.1016/0887-2171(95)90027-6
ContentType Journal Article
Copyright Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved
Copyright_xml – notice: Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved
DBID CGR
CUY
CVF
ECM
EIF
NPM
AAYXX
CITATION
7X8
DOI 10.1097/RTI.0000000000000189
DatabaseName Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
CrossRef
MEDLINE - Academic
DatabaseTitle MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
CrossRef
MEDLINE - Academic
DatabaseTitleList MEDLINE

MEDLINE - Academic
Database_xml – sequence: 1
  dbid: ECM
  name: MEDLINE
  url: https://search.ebscohost.com/login.aspx?direct=true&db=cmedm&site=ehost-live
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 1536-0237
EndPage W91
ExternalDocumentID 10_1097_RTI_0000000000000189
26488210
00005382-201511000-00013
Genre Journal Article
Review
GroupedDBID -
.Z2
0R
4Q1
4Q2
4Q3
53G
5GY
5RE
5VS
8L-
AARTV
AAWTL
AAYEP
ABBUW
ABXVJ
ABZAD
ACDDN
ACDOS
ACEWG
ACGFS
ACWDW
ACWRI
ACXNZ
ADFPA
ADNKB
AE3
AENEX
AFUWQ
AHULI
AHVBC
AJIOK
AJNYG
ALMA_UNASSIGNED_HOLDINGS
AMJPA
ASCII
AWKKM
BQLVK
C45
CS3
DU5
DUNZO
E.X
EBS
EJD
EX3
F2K
F2L
F5P
FL-
H0
H0~
HZ
IN
IN~
JF9
JG8
JK3
JK8
K8S
KD2
KMI
L-C
N~M
O9-
OAG
OAH
OCUKA
ODA
OHASI
OL1
OLG
OLV
OLW
OLZ
OPUJH
ORVUJ
OUVQU
OVD
OVDNE
OWW
OWY
OXXIT
P-K
R58
RIG
RLZ
RSW
S4R
S4S
UDS
V2I
WOQ
WOW
X3V
X3W
Z2
ZGI
ZXP
---
0R~
6PF
AAAAV
AAHPQ
AAIQE
AASCR
ABASU
ABDIG
ABJNI
ABVCZ
ACILI
ACXJB
ADGGA
ADHPY
AE6
AEETU
AFDTB
AGINI
AHQNM
AHRYX
AINUH
AJNWD
AJZMW
ALMTX
AMKUR
AMNEI
AOHHW
BS7
CGR
CUY
CVF
DIWNM
ECM
EEVPB
EIF
FCALG
GNXGY
GQDEL
HLJTE
HZ~
IKREB
IPNFZ
NPM
OWU
OWV
OWX
OWZ
T8P
TEORI
TSPGW
VVN
W3M
XXN
XYM
YFH
ZFV
ZZMQN
AAYXX
CITATION
7X8
ID FETCH-LOGICAL-c3013-6ccf67ea0d9006dee14462820d3f25ddffcdda19eee12d91c43c82767ab2c0f53
ISSN 0883-5993
IngestDate Sat Aug 17 00:34:34 EDT 2024
Fri Aug 23 00:59:09 EDT 2024
Tue Aug 27 13:50:22 EDT 2024
Thu Aug 13 19:48:03 EDT 2020
IsPeerReviewed true
IsScholarly true
Issue 6
Language English
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c3013-6ccf67ea0d9006dee14462820d3f25ddffcdda19eee12d91c43c82767ab2c0f53
Notes ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
PMID 26488210
PQID 1727437182
PQPubID 23479
ParticipantIDs proquest_miscellaneous_1727437182
crossref_primary_10_1097_RTI_0000000000000189
pubmed_primary_26488210
wolterskluwer_health_00005382-201511000-00013
ProviderPackageCode L-C
C45
AARTV
ADFPA
ASCII
OLG
ODA
ABZAD
ABBUW
JK3
ADNKB
JK8
H0~
OLV
8L-
JG8
OLW
OLZ
F2K
F2L
OHASI
AHVBC
AJNYG
FL-
KMI
K8S
AJIOK
OPUJH
V2I
S4R
S4S
4Q1
DUNZO
OAG
4Q2
OVDNE
4Q3
AMJPA
OAH
OVD
AHULI
ACEWG
.Z2
AWKKM
OUVQU
ORVUJ
X3V
X3W
ACDDN
ACWRI
E.X
OWW
OCUKA
OWY
ACXNZ
OL1
ABXVJ
IN~
KD2
OXXIT
ACWDW
JF9
PublicationCentury 2000
PublicationDate 2015-November
PublicationDateYYYYMMDD 2015-11-01
PublicationDate_xml – month: 11
  year: 2015
  text: 2015-November
PublicationDecade 2010
PublicationPlace United States
PublicationPlace_xml – name: United States
PublicationTitle Journal of thoracic imaging
PublicationTitleAlternate J Thorac Imaging
PublicationYear 2015
Publisher Copyright Wolters Kluwer Health, Inc. All rights reserved
Publisher_xml – name: Copyright Wolters Kluwer Health, Inc. All rights reserved
References Franquet (R10-13-20210210) 2002; 179
Menias (R14-13-20210210) 2008; 28
Metz (R22-13-20210210) 2008; 135
Meko (R25-13-20210210) 1996; 120
Siegel (R1-13-20210210) 2015; 65
Roberts (R11-13-20210210) 2003; 115
Schwartz (R20-13-20210210) 2010; 25
Paik (R24-13-20210210) 2013; 28
Tateishi (R21-13-20210210) 2003; 180
Katyal (R4-13-20210210) 2000; 216
Ozkan (R17-13-20210210) 2010; 34
Seo (R9-13-20210210) 2001; 21
Bendeck (R12-13-20210210) 2001; 177
Hirakata (R19-13-20210210) 1995; 16
Oshikawa (R16-13-20210210) 1998; 37
Aquino (R2-13-20210210) 2005; 43
Tamura (R18-13-20210210) 2013; 44
Yuki (R6-13-20210210) 1990; 66
Dromain (R23-13-20210210) 2003; 180
Arkadopoulos (R13-13-20210210) 2013; 37
Englebrecht (R7-13-20210210) 2011; 36
Shirabe (R15-13-20210210) 2002; 131
Sung (R5-13-20210210) 2008; 102
References_xml – volume: 34
  start-page: 277
  year: 2010
  ident: R17-13-20210210
  article-title: . Pictorial essay: multimodality imaging of metastases from pancreatic ductal adenocarcinoma.
  publication-title: Clin Imaging
  doi: 10.1016/j.clinimag.2009.06.026
  contributor:
    fullname: Ozkan
– volume: 28
  start-page: 1115
  year: 2008
  ident: R14-13-20210210
  article-title: . Mimics of cholangiocarcinoma: spectrum of disease.
  publication-title: Radiographics
  doi: 10.1148/rg.284075148
  contributor:
    fullname: Menias
– volume: 131
  start-page: S159
  issue: suppl
  year: 2002
  ident: R15-13-20210210
  article-title: . Intrahepatic cholangiocarcinoma: its mode of spreading and therapeutic modalities.
  publication-title: Surgery
  doi: 10.1067/msy.2002.119498
  contributor:
    fullname: Shirabe
– volume: 120
  start-page: 975
  year: 1996
  ident: R25-13-20210210
  article-title: . Evaluation of somatostatin-receptor scintigraphy for detecting neuroendocrine tumors.
  publication-title: Surgery
  doi: 10.1016/S0039-6060(96)80043-2
  contributor:
    fullname: Meko
– volume: 44
  start-page: 222
  year: 2013
  ident: R18-13-20210210
  article-title: . Cavitary pulmonary metastases of pancreas cancer.
  publication-title: J Gastrointest Cancer
  doi: 10.1007/s12029-012-9428-8
  contributor:
    fullname: Tamura
– volume: 28
  start-page: 750
  year: 2013
  ident: R24-13-20210210
  article-title: . Clinical usefulness of plasma chromogranin a in pancreatic neuroendocrine neoplasm.
  publication-title: J Korean Med Sci
  doi: 10.3346/jkms.2013.28.5.750
  contributor:
    fullname: Paik
– volume: 179
  start-page: 897
  year: 2002
  ident: R10-13-20210210
  article-title: . Thrombotic microangiopathy of pulmonary tumors: a vascular cause of tree-in-bud pattern of CT.
  publication-title: Am J Roentgenol
  doi: 10.2214/ajr.179.4.1790897
  contributor:
    fullname: Franquet
– volume: 180
  start-page: 121
  year: 2003
  ident: R23-13-20210210
  article-title: . MR imaging of hepatic metastases caused by neuroendocrine tumors: comparing four techniques.
  publication-title: Am J Roentgenol
  doi: 10.2214/ajr.180.1.1800121
  contributor:
    fullname: Dromain
– volume: 65
  start-page: 5
  year: 2015
  ident: R1-13-20210210
  article-title: Cancer statistics, 2015.
  publication-title: CA Cancer J Clin
  doi: 10.3322/caac.21254
  contributor:
    fullname: Siegel
– volume: 135
  start-page: 1469
  year: 2008
  ident: R22-13-20210210
  article-title: Gastrointestinal neuroendocrine tumors: pancreatic endocrine tumors.
  publication-title: Gastroenterology
  doi: 10.1053/j.gastro.2008.05.047
  contributor:
    fullname: Metz
– volume: 216
  start-page: 698
  year: 2000
  ident: R4-13-20210210
  article-title: . Extrahepatic metastases of hepatocellular carcinoma.
  publication-title: Radiology
  doi: 10.1148/radiology.216.3.r00se24698
  contributor:
    fullname: Katyal
– volume: 177
  start-page: 1151
  year: 2001
  ident: R12-13-20210210
  article-title: . Cellullose granulomatosis presenting as centrilobular nodules CT and histologic findings.
  publication-title: Am J Roentgenol
  doi: 10.2214/ajr.177.5.1771151
  contributor:
    fullname: Bendeck
– volume: 21
  start-page: 403
  year: 2001
  ident: R9-13-20210210
  article-title: . Atypical pulmonary metastases: spectrum of radiologic findings.
  publication-title: Radiographics
  doi: 10.1148/radiographics.21.2.g01mr17403
  contributor:
    fullname: Seo
– volume: 37
  start-page: 292
  year: 1998
  ident: R16-13-20210210
  article-title: . Multiple pulmonary metastases with cavitation from gallbladder cancer.
  publication-title: Intern Med
  doi: 10.2169/internalmedicine.37.292
  contributor:
    fullname: Oshikawa
– volume: 25
  start-page: 1016
  year: 2010
  ident: R20-13-20210210
  article-title: . Education and Imaging. Hepatobiliary and pancreatic: angiosarcoma of the liver.
  publication-title: J Gastroenterol Hepatol
  doi: 10.1111/j.1440-1746.2010.06270.x
  contributor:
    fullname: Schwartz
– volume: 43
  start-page: 481
  year: 2005
  ident: R2-13-20210210
  article-title: Imaging of metastatic disease to the thorax.
  publication-title: Radiol Clin North Am
  doi: 10.1016/j.rcl.2005.02.006
  contributor:
    fullname: Aquino
– volume: 66
  start-page: 2174
  year: 1990
  ident: R6-13-20210210
  article-title: . Growth and spread of hepatocellular carcinoma. A review of 240 consecutive autopsy cases.
  publication-title: Cancer
  doi: 10.1002/1097-0142(19901115)66:10<2174::AID-CNCR2820661022>3.0.CO;2-A
  contributor:
    fullname: Yuki
– volume: 180
  start-page: 1671
  year: 2003
  ident: R21-13-20210210
  article-title: . Metastatic angiosarcoma of the lung: spectrum of CT findings.
  publication-title: Am J Roentgenol
  doi: 10.2214/ajr.180.6.1801671
  contributor:
    fullname: Tateishi
– volume: 102
  start-page: 643
  year: 2008
  ident: R5-13-20210210
  article-title: . Hepatocellular carcinoma with intracavitary cardiac involvement: a case report and review of the literature.
  publication-title: Am J Cardiol
  doi: 10.1016/j.amjcard.2008.04.042
  contributor:
    fullname: Sung
– volume: 37
  start-page: 2197
  year: 2013
  ident: R13-13-20210210
  article-title: Perelas A, et al..
  publication-title: Should diaphragmatic involvement preclude resection of large hepatic tumors World J Surg
  contributor:
    fullname: Arkadopoulos
– volume: 36
  start-page: 62
  year: 2011
  ident: R7-13-20210210
  article-title: . Bland and tumor thrombi inabdominal malignancies: magnetic resonance imaging assessment in a large oncologic patient population.
  publication-title: Abdom Imaging
  doi: 10.1007/s00261-010-9608-6
  contributor:
    fullname: Englebrecht
– volume: 115
  start-page: 228
  year: 2003
  ident: R11-13-20210210
  article-title: . Pulmonary tumor embolism: a review of the literature.
  publication-title: Am J Med
  doi: 10.1016/S0002-9343(03)00305-X
  contributor:
    fullname: Roberts
– volume: 16
  start-page: 379
  year: 1995
  ident: R19-13-20210210
  article-title: CT of pulmonary metastases with pathological correlation.
  publication-title: Semin Ultrasound CT MR
  doi: 10.1016/0887-2171(95)90027-6
  contributor:
    fullname: Hirakata
SSID ssj0017348
Score 2.123606
SecondaryResourceType review_article
Snippet This article reviews common and uncommon patterns of thoracic metastatic disease in primary hepatobiliary and pancreatic malignancies that are often overlooked...
SourceID proquest
crossref
pubmed
wolterskluwer
SourceType Aggregation Database
Index Database
Publisher
StartPage W82
SubjectTerms Bile Duct Neoplasms - diagnosis
Bile Duct Neoplasms - pathology
Humans
Liver Neoplasms - diagnosis
Liver Neoplasms - pathology
Magnetic Resonance Imaging
Pancreatic Neoplasms - diagnosis
Pancreatic Neoplasms - pathology
Thoracic Neoplasms - diagnosis
Thoracic Neoplasms - secondary
Tomography, X-Ray Computed
Title Thoracic Metastases From Primary Hepatobiliary and Pancreatic Malignancies: Predictable Patterns of Metastatic Spread
URI http://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=fulltext&D=ovft&AN=00005382-201511000-00013
https://www.ncbi.nlm.nih.gov/pubmed/26488210
https://search.proquest.com/docview/1727437182
Volume 30
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV1ba9swFBZpCmNjjN3X3dBgb8HMtnzL3kqbkoykC4tL-mZkSQ5mqV3ihMJ-_Y4sKbaXPXQPy4NJ7EhK_H0-50g6F4Q-Z6BkUsqolXpRBhMUL7JSTokVuAweLwYaxpHByeNFeHkdnY-8Ua9nSho25_4r0nAOsJaRs_-A9r5TOAHvAXM4AupwvCfuACrL2WAmthRMv0pUYJ2WN4O5zisxBgUET3G-zuWnOlgAkK9tR2gEZvlKVeytfeXmG7mRs63jq-Z1Kk7lNqc7l00Wt9C2U-6zZeRuza-BsVdGS6pIiDux4cpyBT3dLKku6Vo7erTyHjRrtvBlykuLC0tdFiZ4bSbWwCE62C9mywQJtRvAeSF-Wd_yG-UTUKgl8wUwKqersr3q4fg6_K9WWkZSS-9plTHGiHK9xZMfyOWlqnCkVfxSFQg70B4qK_GPeKKyWpqXo4ocdZN1X35PLq6m0yQeXcdH6NgFOef30fHp2WQ62W9jydRBJl5zGH75W89de-hgkvMIPb4rpd9E9bMOm2gZP_FT9EQDik8V3Z6hniieowcz7ZfxAu0M63DDOixZhzXrcId1GFiHG9bhNuu-4hbnsOEcLjPccA4rzr1EVxej-Gxs6YIeFiOyikjAWBaEgtp8CMKeCyEXI2DOb3OSuT7nWcY4p85QwBWXg5TwCIvcMAhp6jI788kr1C_KQrxBOA2JH2V-BvP71GMpSYchdR0S2JQIO3XcE2SZ25rcqn-aGH8LgCH5E4YT9Mnc-wQErNw1o4Uod1UiLXyPgAkHfb5WoOx7lO6hkevYMFoHpUQFMdejgMhzLUlhmZyxzuLgkLf3GO0detgQ_z3qbzc78QEdVXz3UdPsN7NRs_s
link.rule.ids 315,782,786,27935,27936,64552,64572,65347,65367
linkProvider Ovid
linkToHtml http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwvR3ZbtNAcEVTiYIQ0HKF00iV3wy211eQ8hBykEITRbUr4MnaEyLAjuIEfp8Zr12VVn3oC36xrfXMajWzOzOei5BDDUKGM8EcHiQaDJQgcbhk1Il8AdtLgITxMDl5msbzL8lojGVy2lhVTD6rVm_wVh_T-IDtcNAuzPofU3s-_pz2C3uYDvtf7cXgw7j-TY1BEvaoX_7WG3swr8OvYCYfWAAEmtckT2Nv290opBHYaLuDySh7f-ZuwBIvRt2kTggSu82x68VvT7IjU-OwvTzsCH9ehl1STG-TO39K9HVXP-pQ93MCa3LvPy31PrnbaLTWwLDgPrmhigNyc9b47B-QbfYd2EwshTVTGwbKaKUqa7Iuf1kLU-nCmoJIhHNl-XOJb6yQ1gJ4sdZmAQgMhW-mh3D1DkAQ7wbzveAjzEQqKqvULWoESFcAKR-S08k4G06dptmDIyh2mIiE0FGsmCt7cBBIpdBQBXvQlVT7oZRaCymZ11Mw4kvgoICKxI-jmHFfuDqkj0inKAv1hFg8pmGiQw22Hw8Ep7wXM9-jkcuocrnnd4nTki9fmZXmrS8eyJ1fJHeXvG5pnMPmQ48KK1S5rXLU_gIK4h1wPjbEP8OIoYMJGNQw2z_ckJsE1_wqyj295vevyN40mx3nx0fzT8_ILRw1uZLPSWez3qoXZKeS25cNy_8F3FgH9g
linkToPdf http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwvV1Lb9NAEF5BKlWgqryh5WUk5JvB3vUrSD6EJCYFakXYFXCy9gkR1I7qBMS_Z8aPqoA4cMEX21rvrFbz7c6MZ2aHkKcGhIzgkjvCjw0YKH7sCMWZE1IJy0uChPEwOXmRR9mHeDbHY3IGDz4mnzXrZ3hrt2l8wHI4aBcWyevcnubT5KOdzd_nSWYvJ6_m7W9qDJKwl7M0-WHPkvqb2diTrA3CgvEoAAHEmtenUGOF253QDyI6IjuTdFa8PHc64EEvndLJnADk9pBpN46evyuOupMOh8vDuvAXJdkf6ulVsve9Ro9386UNeL8gttJr_3XC18l-r91akw6ON8glXd0ku8e9__4W2RafAXJyJa1jveGgmDa6sdKz-tRadqdeWAsQj7DHrL6u8I1XyloCLlvNFjqB0fCpqyfcvIAuSHeDuV_wEWYlVY1Vm4E0dsjX0FPdJifpvJgunL7wgyMZVpsIpTRhpLmrxrApKK3RaAXb0FXM0EApY6RS3BtraKEK0OQzGdMojLig0jUBu0NGVV3pe8QSEQtiExiwA4UvBRPjiFOPhS5n2hUePSDOwMRy3c20HPzywPTyd6YfkCcDp0tYiOhd4ZWut02JmqDPQNQDzbsdBM4pYhhhDMY1jPYLJsou2bX8G-cO__H7x2QXQFG-Pcre3CdXsLFLm3xARpuzrX5ILjdq-6jH_U-RQQrP
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Thoracic+Metastases+From+Primary+Hepatobiliary+and+Pancreatic+Malignancies%3A+Predictable+Patterns+of+Metastatic+Spread&rft.jtitle=Journal+of+thoracic+imaging&rft.au=Holwerda%2C+Ross+A&rft.au=Walker%2C+Christopher+M&rft.au=Rosado-de-Christenson%2C+Melissa+L&rft.au=Mart%C3%ADnez-Jim%C3%A9nez%2C+Santiago&rft.date=2015-11-01&rft.eissn=1536-0237&rft.volume=30&rft.issue=6&rft.spage=W82&rft.epage=W91&rft_id=info:doi/10.1097%2FRTI.0000000000000189&rft.externalDBID=NO_FULL_TEXT
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0883-5993&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0883-5993&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0883-5993&client=summon