60-Year-Old Man With Liver Lesions and a Subcutaneous Nodule (original) (raw)

A 60-year-old man with a history of coronary artery disease presented with pleuritic chest pain and shortness of breath, leading to the discovery of incidental hypodense liver lesions and a concerning subcutaneous nodule during imaging. Point-of-care ultrasound (POCUS) revealed the nodule to be potentially malignant, which changed the management approach and led to a bedside ultrasound-guided biopsy, confirming metastatic pancreatic cancer. The case underscores the utility of POCUS in rapidly assessing lesions that may be malignant and guiding appropriate interventions.