Bilateral Hydropneumothorax in a patient with Metastatic Gastric Adenocarcinoma of Signet Ring Morphology- An Unusual Presentation

Pleura is a commonest location for metastasis of malignancy of various organs. The infiltration of pleura usually present as Pleural Effusion, which is the hallmark of pleural metastasis, other presentation include pleural nodules or extensive pleural thickening and rarely as pneumothorax or Hydropneumothorax as noted in this case report. Lung carcinoma is the most frequent malignancy that invades pleura thereby resulting in malignant and paramalignant effusions. Carcinoma of Breast is second frequent malignancy leading to malignant pleural effusion.