Right middle lobe and lingular airspace opacities mimicking over projected dense breast parenchyma on chest radiograph.

Perilymphatic distrubution pulmonary nodules. Sarcoidosis would be most likely in this case, even without lymphadenopathy. Silicosis would be unlikely given patient demographics, and absence of calcification. Lymphangitis carcinomatosis is a differential for perilymphatic nodules, however is unlikely.

No further clinical or laboratory correlation available at this stage.