Male patient 66yo with 6 year stenting 2 coronary branches now left chest pain and dypsnea.
Chest CT for check-up. Coronary stents in good condition, but detected left lung tumor while expands FOV
Ultrasound of liver detected hypoechoic solid mass # 46x30mm at subsegment VII, well-bordered, basket shape vascularized that was thought a metastasis lesion maybe from left lung tumor.
Lung biopsy and histopathological result= adenocarcinoma poor differentialized invasive in lung [C34].
CONCLUSION=Coronary CTA helps revealing exactly coronary lesions, but detecting other lesions nearby heart if enlarging FOV. In this case, coronary CT detected left lung tumor that confirmed later by lung biospy with histopathological result.