Volume 151, Issue 6, Pages e131-e134 (June 2017) A 58-Year-Old Man With Fatigue, Weight Loss, and Diffuse Miliary Pulmonary Opacities Udit Chaddha, MD, Rebekah English, DNP, Jessica Daniels, MD, Rajat Walia, MD, FCCP, Atul C. Mehta, MD, FCCP, Tanmay S. Panchabhai, MD, FCCP CHEST Volume 151, Issue 6, Pages e131-e134 (June 2017) DOI: 10.1016/j.chest.2016.11.015 Copyright © 2016 American College of Chest Physicians Terms and Conditions
Figure 1 (A) Posteroanterior and (B) lateral chest radiographs show diffuse micronodular opacities throughout the lungs. CHEST 2017 151, e131-e134DOI: (10.1016/j.chest.2016.11.015) Copyright © 2016 American College of Chest Physicians Terms and Conditions
Figure 2 Computed tomogram of the chest in lung windows showing (A, B) diffuse miliary micronodules throughout the lungs (black arrows). C, D, Bulky paratracheal and subcarinal adenopathy (white arrows) can also be seen on the mediastinal windows. CHEST 2017 151, e131-e134DOI: (10.1016/j.chest.2016.11.015) Copyright © 2016 American College of Chest Physicians Terms and Conditions
Figure 3 Histologic sections (hematoxylin and eosin stain) of transbronchial lung biopsy specimens showing noncaseating granulomas (black arrows) in (A) 200× magnification and (B) 400× magnification. Also depicted is a multinucleated giant cell (red arrow) at the center of the granuloma. CHEST 2017 151, e131-e134DOI: (10.1016/j.chest.2016.11.015) Copyright © 2016 American College of Chest Physicians Terms and Conditions