Multiple pulmonary nodules on chest X-ray, known commonly as cannon ball Facial Cleansers secondaries, are the classical presentation of hematogenous dissemination of a malignant tumor to the lungs.This almost always indicates an advanced stage of the disease with a very grim outlook in terms Roller Skates of cure or survival.In this case report, we present a patient with very extensive cannon ball lung metastases due to adrenocortical carcinoma with a more favorable prognosis.This is the first case described in the literature of cannonball lung metastases from adrenocortical tumor in a man.