"The future is here, it just isn't evenly distributed yet"
The things you can do with 3d printing we can barely even imagine. If you want some inspiration Cory Doctorow's
Makers is a really good read. It may be a work of fiction, but still very close to the mark.
There are several methods of 3d printing, for things like ABS and PLA, they tend to use a heated extrusion type method. But for the metals, they tend to use a laser sintering method. Where by they deposit a small piece of the metal on the item you're printing, then melt it in place with a laser. Effective, but expensive, and it won't get you the strongest item possible.
What you can however do, is you can take an item (modified slightly to include drafts and vents) you have printed in PLA, place it in some green sand, place this sand upside down in an oven, and wait for the PLA to melt out. The PLA can then be reprocessed into filament to print another item with. The now empty mould can be taken to your foundry, and the casting metal of your choice used to cast the finished product. Lost wax casting for the 21st Century. Test the design in something cheap like Aluminium, then when you're happy with the design, repeat it with silver... or gold... or platinum.
It is also worth considering that while the document scanner is the ideal companion of your desktop printer, so a 3d scanner is the perfect companion for a 3d printer. Find a funky leaf in the woods, scan it in, scale it down, print it out, cast a copy, make a beautiful pair of one of a kind silver ear rings?
The only limit of what this technology can do will be your imagination... and possibly untamed patent lawyers...
J