Dr. Shahrier Amin

Resident PGY4

Case Four

Overview

Clinical history: A 48 year old woman presents with several episodes of hemoptysis, fatigue and dyspnea over a few years. CT scans showed diffuse lung nodules of uncertain nature in the right middle and lower lobes, associated with possible mediastinal fibrosis. A wedge biopsy of lung was done for definitive diagnosis.

What is the diagnosis, the main differential, and pathological features that help to distinguish between them?


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