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Multiple pulmonary nodules: diagnosis in an young afebrile patient

Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Correspondence to:
Correspondence to:
Dr Kushaljit Singh Sodhi, Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh-160012, India;
Sodhiks@rediffmail.com

Submitted 11 June 2002
Accepted 27 August 2002

Keywords: hyponatraemia; syndrome of inappropriate secretion of antidiuretic hormone (SIADH); cyclophosphamide; vincristine

The first 150 words of the full text of this article appear below.

A 22 year old women presented with complaints of vague pain in the chest for three months and cough with expectoration for six days before admission. On examination, she was afebrile and non-dyspnoeic. Her pulse rate, respiration rate, and blood pressure were within normal limits. Her white cell count was only mildly raised. She had a normal haemoglobin concentration and erythrocyte sedimentation rate. Mantoux test was negative.

Chest radiography (fig 1) and computed tomography (fig 2) showed bilateral, multiple, well defined lung parenchymal nodules, randomly distributed throughout both lung fields. An air crescent was also seen in one of the nodules in the right lower lobe (fig 2B). Casoni’s test was done later, which was positive. No mediastinal or hilar lymphadenopathy and no pleural or pericardial effusion was seen.

View larger version (138K): [in this window] [in a new window]   Figure 1 Chest radiograph of patient.

View larger version (107K): [in this window] [in a new window]   Figure 2 (A) Computed tomogram showing multiple pulmonary nodules. (B) Crescent sign is seen . . . [Full text of this article]