A 76-year-old man was referred for multiple pulmonary nodules discovered on a routine chest radiograph (Fig 1). He denied fever, cough, dyspnea, night sweats, chest pain, or hemoptysis but had lost 8 kilograms in the past 6 months. The patient was a 15–pack-year tobacco smoker. He reported type 2 diabetes, hypertension, mild hypercholesterolemia, and had an ischemic stroke 5 years before. Treatment included gliclazide, atenolol, losartan, and clopidogrel. He lived in Algeria and denied any occupational exposure. Physical examination was normal.