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Background  Differentiating pulmonary metastasis from primary lung cancer can be challenging in patients with breast malignancy. This study aimed to characterize the imaging features of  18 fluorodeoxyglucose‐positron emission tomography/computed tomography ( 18 F‐FDG‐PET/CT) for distinguishing between these diseases.    Methods  We enrolled 52 patients who received curative treatment for breast cancer but later presented with suspected solitary pulmonary lesions (SPLs) and subsequently underwent  18 F‐FDG‐PET/CT to investigate.    Results  Subsolid lesions, ill‐defined borders, lung lesions with negative maximum standardized uptake value, and lesions without  18 F‐FDG‐PET/CT‐diagnosed hilar and/or mediastinal lymph nodes and pleural metastases were more likely to be associated with primary lung cancer.    Conclusions  CT border, FDG uptake, hilar and/or mediastinal lymph node metastasis, and pleural metastasis are potential markers for diagnosis.

thoracic cancer

18 Fluorodeoxyglucose‐positron emission tomography/computed tomography features of suspected solitary pulmonary lesions in breast cancer patients following previous curative treatment