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Abdominal mass with pulmonary nodules in a miliary pattern
  1. Moiz Salahuddin1,
  2. Mark T Warner2,
  3. Lara Bashoura1,
  4. Saadia A Faiz1
  1. 1Pulmonary Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA
  2. 2Divisions of Critical Care, Pulmonary and Sleep Medicine, McGovern Medical School at UTHealth, Houston, Texas, USA
  1. Correspondence to Dr Saadia A Faiz, Pulmonary Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA; safaiz{at}mdanderson.org

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Discussion

A middle-aged woman presented with a 6-week history of persistent abdominal pain and weight loss. She underwent endoscopy with biopsy for an abdominal mass but developed fever after the procedure. Chest imaging revealed a diffuse micronodular pattern (figure 1). She did not have any respiratory symptoms, any recent travel, exposure to animals or sick contacts. The patient was placed into respiratory isolation, and sputum acid-fast bacilli smears were negative for tuberculosis. A subsequent bronchoscopy with bronchoalveolar lavage and transbronchial biopsy confirmed metastatic …

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Footnotes

  • Twitter @mkwarn, @LaraBashoura, @sfaiz212

  • Correction notice This article has been corrected since it first published. The provenance and peer review statement has been included.

  • Contributors MS, MTW, LB, SAF: conception and design, acquisition of radiological and pathological data, drafting the article, critical revision of intellectual content and final approval of the version to be published.

  • Funding This research is supported in part by the National Institutes of Health through MD Anderson’s Cancer Center Support Grant (CA016672).

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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