Soft tissue mass of the calf as the presenting symptom of primary carcinoma of the lung.

To cite: Man BL, Fu YP. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2015-211507 DESCRIPTION A 79-year-old man with a history of ischaemic stroke reported of progressive swelling and pain in the right calf for 1 month. He also had haemoptysis and weight loss for a few weeks. He denied any fever or poor appetite. Physical examination found a firm, tender mass over his calf (figure 1), left buttock and back. Positron emission tomography CT (PET-CT) scan showed a large, hypermetabolic necrotic mass at the right lung middle lobe with infiltration of the adjacent right upper and lower lobes (figure 2). Multiple hypermetabolic necrotic