INTRODUCTIONAs a subtype of biliary tumors, gallbladder cancer is rare yet highly malignant1. Characterized by its ease of metastasis and poor prognosis, its common sites of metastasis include lymph nodes and the liver. However, it can also spread to other organs and tissues such as the lungs, bones, and peritoneum2. It’s critical to note that the incidence of lung metastasis in gallbladder carcinoma hovers around 10-30%, with a dismal 5-year survival rate of around 5-10%3-4. Unusually, when gallbladder carcinoma metastasizes to the lungs, it can sometimes present as pulmonary cavitary lesions, although this manifestation is not commonly observed. In this light, we present a case of gallbladder carcinoma with pulmonary manifestations of cavitary lesions.