cases, metastatic Week 35: Case 5 April 26, 2023 pathadmin 1. Presented by Pedram Argani, M.D. and prepared by Orin Buetens, M.D.A 20-year-old male with multiple lung nodules. The lesions were non-immunoreactive for cytokeratins, EMA, desmin, chromogranin, and S100. Distinctive features were identified on ultrastructural examination.Metastatic renal cell carcinomaMetastatic paragangliomaMetastatic alveolar soft part sarcomaMetastatic melanoma 1. Presented by Pedram Argani, M.D. and prepared by Orin Buetens, M.D.A 20-year-old male with multiple lung nodules. The lesions were non-immunoreactive for cytokeratins, EMA, desmin, chromogranin, and S100. Distinctive features were identified on ultrastructural examination.