Interesting ImagesThe Hot Pleura Isolated Pleural Metastases From Renal Cell CarcinomaQureshi, Pir Abdul Ahad Aziz FCPS*; Asghar, Namra MBBS†; Bashir, Humayun FCPS, FEBNM, FRCP†; Niazi, Imran Khalid FCPS, FRCR*; Akhtar, Noreen FCPS, FRCPath‡Author Information From the Departments of *Radiology †Nuclear Medicine ‡Pathology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan. Received for publication July 2, 2019; revision accepted October 28, 2019. Authors declare that images used in the study are anonymized. Conflicts of interest and sources of funding: none declared. Correspondence to: Pir Abdul Ahad Aziz Qureshi, FCPS, Department of Radiology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, 7-A Block R-3, M. A. Johar Town, 54770 Lahore, Pakistan. E-mail: firstname.lastname@example.org. Online date: January 30, 2019 Clinical Nuclear Medicine: March 2020 - Volume 45 - Issue 3 - p 211-213 doi: 10.1097/RLU.0000000000002909 Buy Metrics Abstract Renal cell carcinoma (RCC) is the most common solid renal malignancy that metastasizes typically to lungs, bones, liver, adrenals, and lymph nodes. Isolated pleural metastases of RCC are extremely rare, with only few cases reported in the literature. We report one such case of a 60-year-old woman, a known case of RCC of the left kidney who underwent nephrectomy, and on follow-up, PET/CT scan revealed diffuse thick nodular hypermetabolic left pleural thickening, which was later biopsied and turned out to be pleural metastases from RCC. No other site of metastases was found. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.