This non-smoker has been presenting and re-presenting to respiratory clinics with non-productive cough for several months.
Serial chest radiographs 2-4 months apart.
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Over the months, the apperances are that of migrating/("flitting") infiltrates. Prior sympathectomy for Raynaud disease noted.
A prior CT chest (not available for review) did not show any mass lesion, and no structurally abnormal lung.
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This patient was managed in respiratory outpatients for cryptogenic organising pneumonia (COP), and is on intermittent steroids.