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Roentgenogram of the Month |

An Unusual Radiologic Presentation of an Uncommon Bronchogenic Lung Carcinoma*

Heyman Luckraz, FRCS; Mike Crane, FRCR; Allen Gibbs, FRCPath; Eric G. Butchart, FRCS
Author and Funding Information

*From the Cardiothoracic Unit (Drs. Luckraz and Butchart), Radiology Department (Dr. Crane), and Pathology Department (Dr. Giggs), University Hospital of Wales, Cardiff, UK.

Correspondence to: Herman Luckraz, FRCS, Cardiothoracic Unit, University Hospital of Wales, Heath Park, Cardiff CF4 4XW, UK; e-mail: HeymanLuckraz@aol.com



Chest. 2005;127(6):2264-2265. doi:10.1378/chest.127.6.2264
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Extract

A 63-year-old woman presented with a short history (a few months) of persistent cough and mild shortness of breath. On further enquiry, she admitted to having a poor appetite, with an associated weight loss of approximately 4 kg over a period of 6 months. Clinical examination was unremarkable and did not reveal any signs of lung malignancy. A chest roentgenogram showed bilateral multiple pulmonary nodules (Fig 1 ). Blood tests for angiotensin-converting enzyme levels, systemic vasculitic screen, antineutrophil cytoplasmic antibody, and rheumatoid factor were normal. The C-reactive protein was mildly elevated at 52 mg/L.

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