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47 y , electrical engineer, non – smoker asymptomatic

47 y , electrical engineer, non – smoker asymptomatic 2007 - cervical TB lymphadenitis. 6 months Rx Sept : 2010 : Middle – East pre-employment check. CECT chest.

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47 y , electrical engineer, non – smoker asymptomatic

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  1. 47 y , electrical engineer, non – smoker • asymptomatic • 2007 - cervical TB lymphadenitis. 6 months Rx • Sept : 2010 : Middle – East pre-employment check

  2. CECT chest • Multiple bilateral variable sized pulmonary nodules of 10 – 34 mm diameter, largest seen at right base (post. segment), all lesions are solid, showing no calcifications or break down with insignificant CE Multiple bilateral pul. Nodules. ? granulomatous, ? neoplastic

  3. Pulmonary Hyalinizing Granuloma • distinct fibrosing lesions of lung, with central whorled deposits of lamellar collagen • middle aged • > 50 % have some auto-immune process or previous exposure to mycobacterial or fungal antigen • usual a benign course but can often cause debilitaiting dyspnoea (sclerosing mediastinitis)

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