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Ground glass density nodules

Case contributed by Dr Usman Bashir

Presentation:

Cough and chest pain for 6 weeks

Patient Data:

Gender: Female
Race: Caucasian
Modality: X-ray

Baseline CXR (given here for comparison) is unremarkable apart from right apical fibrosis likely a sequela of old tuberculosis.

Followup radiograph obtained after several years for new onset cough and chest pain shows an ill-defined opacity in the right lower zone. A CT was advised.

Modality: CT

Three nodules are shown:

image 1: partially solid, partially ground glass density nodule in right lower lobe (responsible for Chest Xray opacity) This is large and of new onset. Lesions like this are usually biopsied

image 2 & 3: completely ground glass density nodule in the right upper lobe. Also note a further solid nodule with spiculated margins in the left lung (image 2)

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