Presentation
Screening chest x-ray.
Patient Data
A well defined solitary pulmonary nodule of soft tissue density is visible in the right lower lobe. Prior examinations confirmed it as a hamartomatous mass.
Smaller, symmetrical, ill-defined nodular shadows are visible on both sides between the anterior aspect of the 5th and 6th ribs. Unlike the SPN these shadows have an ill-defined medial border, while the lateral border is sharp.
Key image showing the nipple shadow superiorly and the solitary pulmonary nodule inferiorly.
Case Discussion
The case demonstrates the differences in the appearance of solitary pulmonary nodules and bilateral nipple shadows.