 Hello everyone. Myself Dr. Uddalakzar, JR2, Department of Radio Diagnosis, North Bengal Medical College. I will be presenting a case report on lung cancer presenting as a cancerous calc metastasis. I have been guided by Professor Narayan Pundit and Professor Shohinishan Dutta. Children's metastasis from primary malignancy is very uncommon clinical entity with reported incidence of 0.2 to 10 percent. The presence of children's metastasis is the first kind of a clinically silent digital cancer is even rare. We describe the case of a male patient who presented with a calc metastasis as the initial manifestation of a lung cancer and further workup revealed the advanced nature of the disease. The report is to emphasize that the physicians aware of this rare clinical entity and appropriate investigations should be arranged for early diagnosis and initiation of appropriate treatment. The occurrence of skin lesions in lung cancer points towards a very bad diagnosis. Introduction. Children's metastasis from primary malignancy is very uncommon clinical entity with reported incidence ranging from 0.2 to 12 percent of all malignancies. Children's metastasis generally indicate advanced nature of the disease. They may be the first indication of a clinically occured digital malignancy. Therefore, in-depth investigation of the children's metastasis is very important not only for the correct diagnosis, but also for proper treatment of the cancer. The calc is a favorite location for distant metastasis in approximately 5 percent of cases involving the site. The interval between a primary and a metastatic diagnosis is more than 5 years in about 7 percent cases and half of the patients with kidney estimates die between 6 months of the initial diagnosis. Calc metastasis as the first manifestation of lung cancer has been reported only a few times before this case report. So the 70-year-old gentleman came to the orthopedic with some plans for counseling over his calc for the last three months and history of chronic low back pain for several years. He had history of significant weight loss in the last 6 months or from 10 kgs. He was a chronic baby smoker for the last 50 years and clinical examination revealed a painless, normal, serrated nodule in the right hyperrheater region measuring a proclamatic potential in diameter with a normal overall length without any evidence of infection. So the patient was referred to our department as a part of the institutional treatment protocol for L-spine X-ray. Incidentally, when the X-ray was being analyzed by us, we saw that in the L-spine, a blunted costotonic angle was seen and we confirmed the findings in USG and at the same setting, we did a USG guided tap and send the fluid for pathological analysis. The prural fluid analysis came back with a typical M-cell from microscopy and we started an array of investigations including HACP, CEP and MR. CEP thorax revealed the ithaler mask with narrowing of the right main bronchus with encasement of the right pulmonary artery along with ground glass properties, eclectic changes and archipelago distortion. There were hybrid exchanges and paracetamolation in the right lung as well. There was bilateral proliferation, pericardial effusion and multiple enlarged medial standard limb nodes. Multiple metastatic focivescene in the ribs, vertebrate, pelvic bones, both the clavicles, scapula and adrenal glands. MR X-ray of the brain and the whole spine was requested and revealed a soft tissue mask of 2 plus 2 plus 1.5 centimeter in the right hyperrheater region which was isopropyl hyperintensive and titivated images. Multiple areas of altered signal intensity were noted at C7, C8 and L1 vertebrate with collapse of C7 vertebrate. There was no area of altered signal intensity in the brain. A provisional diagnosis of a right lung mask multiple mucus surfaces was made. Our CT got a definitive diagnosis from the lung mask and U.S. got a definitive diagnosis of salivation and the report came back as adenosine. However, the patient 40 died after initiating treatment. So this is the figure. Name of the A and B are HACC and CACC images respectively showing the impehaler mask with narrowed right-men bronchers and post-concursion enhancement along with problems with uofibiotic changes in bilateral bolifusion. Figure 2 shows multiple areas of latication in pelvic bones and vertebrae. Figure 3 showing the bone window showing multiple lumbar lesions in the right scapula and bone declavical. Figure 4 are CTT images showing bilateral atrial gland metastasis and multiple re-involvement. And figure 5 is the CTT image showing pericardial tissue. Figure 6 is a T2 metadema showing a 2 cross 2.5 centimeter isopropyl hyperintensive in the right hyperator scalp consisting of metastasis. Figure 7 showing MR images at multiple levels showing altered signal intensity at C7, C8 and L1 with pathological fracture of C7 vertebra. So coming to discussion lung cancer is a leading cause of cancer related death accounting for about 25% of the total. A cohort study of more than 2,000 patients of a non-small cell carcinoma found that the median age of diagnosis was 64 years with highest incidence in men including the most common patients with symptoms of calf and dyspnea. The present symptoms can result from intra and extracellular effects of the cancer as well as from effects of distant and reliquid meds which has perineoplasty syndrome. It is important to recognize that lung cancer can also be incidentally found by a redological investigation in patients presenting with bronchopulmonary symptoms. Cutaneous manifestations of the patient are indicative of the re-advance of the disease and have a poor prognosis resulting in an average survival of 25 months as compared to other organs. Skin is an uncommon type of metastasis accounting for fewer than 10% of all cases. Skin metastasis are a rare site of visceral cancer in a respective prospective analysis by looking bill at all 7,000 patients were studied and skin involvement was seen only in 0.8% of cases. The average time for lung cancer to metastasis to skin was found to be 5.7 months. Occasionally the skin lesion presented simultaneously with or before the diagnosis of a lung cancer. Skin metastasis from lung cancer are generally poorly differentiated involving the lymphobacillus system and restricted to the subcutaneous tissue and dummies. Adenocarcinema is the most common type of metastasis from lung cancer followed by squamous cell catamomor. Anastasic analysis by Brownstein and Helbig showed that a metastatic lesion of the skin was the first lethal sign of lung cancer. Another astasic analysis by Song et al. showed 2.8% of advanced cases of non-small cell cancer accompanied with skin metastasis. In conclusion, we report this case to give emphasis that KSC dermatological examination can be invaluable in giving clues to internal hidden malignancies. For at least calve metastasis as a fire sign of focal lung cancer is an extremely rare occurrence and despite its rarity metastatic skin disease should always be considered is a differential diagnosis patient with a history of smoking or lung cancer who presents schizophrenia. Declaration appropriate consent was taken and I declare there is no contract of interest or funding for resources. Here are my references. Thank you.