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The multiplicity of inflammatory nodules in this case, in the form of multiple pulmonary nodules and a spinal soft tissue mass, can be a considerable diagnostic challenge.
Protocols for evaluation for single and multiple pulmonary nodules (DK).
One common manifestation of pulmonary cryptococcosis is the presence of solitary or multiple pulmonary nodules or masses, cavitation, or parenchymal abnormalities.
One per cent of the patients have pulmonary spread, which manifests on CT as multiple pulmonary nodules with air trapping areas.
Since the patient has multiple pulmonary nodules in both lungs, which were suspected to be metastases, it was difficult to decide on surgical resection because there seemed to be no chance of radical cure.
A 65-year-old Japanese female underwent ileal-colonic bypass for unresectable ascending colon cancer with invasion to the duodenum and multiple pulmonary nodules, suspected to be pulmonary metastases.
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However, we decided not to perform more invasive resection because the multiple bilateral pulmonary nodules were suspected to be metastases.
Several benign conditions can appear with slowly enlarging or multiple new pulmonary nodules, such as rheumatoid arthritis, sarcoidosis or infectious diseases, including tuberculosis and fungal infections, particularly in immunosuppressed patients [14, 15, 16].
Clinical information and CECT imaging were reviewed in conjunction with radiology reports with standard size criteria used to determine lymph node involvement and the presence of new, either solitary or multiple rounded pulmonary nodules of varying size, compatible with pulmonary metastases.
There are multiple bilateral pulmonary nodules (white arrows in g) Open image in new window Fig. 6 A 61-year-old female patient with locally aggressive PTC. a Enhanced axial CT scan of the neck demonstrates a heterogeneous infiltrative thyroid mass.
Chest CT revealed multiple bilateral pulmonary nodules located subpleurally.
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