0
Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 65-Year-Old Woman With Subcutaneous Nodule and Hilar Adenopathy

Hidenobu Shigemitsu, MD, FCCP; Corinne A. Yarbrough, MD; Shraddha Prakash, MD; Om P. Sharma, MD, FCCP
Author and Funding Information

*From the Keck School of Medicine, Division of Pulmonary and Critical Care Medicine, University of Southern California, Los Angeles, CA.

Correspondence to: Hidenobu Shigemitsu, MD, University of Southern California, Keck School of Medicine, 1200 North State St, GNH-11900, Los Angeles, CA 90033; e-mail: hshigemi@usc.edu

Dr. Shigemitsu had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.


The authors have no potential or actual conflicts of interest to disclose.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).


Chest. 2008;134(5):1080-1083. doi:10.1378/chest.08-0127
Text Size: A A A
Published online

Extract

A 65-year-old woman presented with an elongated, painless soft-tissue swelling involving the ulnar aspect of the right forearm and a few erythematous, nontender, and nonpruritic papules on both thighs and trunk. She denied any fever, chills, or night sweats. Her history was significant only for asthma and hypothyroidism. On evaluation, the mass was firm but mobile with no discoloration of the overlying skin (Fig 1). There were no associated motor or sensory impairments and no history of trauma. The rest of the history and physical examination were noncontributory. MRI of the right forearm revealed an elongated mass extending approximately 14 cm along the ulnar aspect of the forearm. The mass had low signal intensity similar to muscle on the T1-weighted image shown below (Fig 2) and high signal intensity on the T2-weighted image. The lesion was enhanced with gadolinium (Fig 3). The mass was removed, and the biopsy specimens showed noncaseating granulomas without acid-fast bacilli, fungi, other organisms, or foreign-body particles. A chest radiograph revealed bilateral hilar adenopathy (Fig 4.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

Suggested Readings

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543