To the Editor.
—The report of Schiffman and Barnard in the September Archives (1982;142:1717-1719) of a 56-year-old woman with gastrointestinal carcinoid tumor, which was metastatic to the brain, prompts us to report a similar case.
Report of a Case.
—A 62-year-old woman underwent an emergency laparotomy on May 25, 1982, at St Joseph's Hospital, Savannah, Ga, for intussusception of the terminal small bowel. The patient showed no evidence of liver metastases, but a preoperative chest roentgenogram showed numerous bilateral pulmonary nodules, measuring 1 to 2 cm.Although the patient was a heavy smoker, she had no pulmonary symptoms referable to these metastases and, following surgery, seemed to be asymptomatic. No treatment was recommended for the metastatic lesions.On July 16, 1982, the patient was readmitted to the hospital, having lost weight and experiencing weakness and mental obtundation. Repeated chest roentgenograms disclosed no progression of the pulmonary nodules, but a computed