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Calcified granuloma. (A) Frontal chest radiograph demonstrates a tiny well-defined nodular opacity in the right mid lung (black arrow). (B) Axial chest.

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Presentation on theme: "Calcified granuloma. (A) Frontal chest radiograph demonstrates a tiny well-defined nodular opacity in the right mid lung (black arrow). (B) Axial chest."— Presentation transcript:

1 Calcified granuloma. (A) Frontal chest radiograph demonstrates a tiny well-defined nodular opacity in the right mid lung (black arrow). (B) Axial chest CT in lung windows demonstrates a diffusely calcified nodule consistent with a granuloma (black arrow). (C) Soft tissue windows demonstrate a calcified ipsilateral hilar lymph node (black arrow). This constellation of findings most likely represents a Ranke complex from prior TB exposure. There was no evidence of active disease. A Ranke complex consists of a Ghon lesion (which is a calcified pulmonary parenchymal tuberculoma) and an ipsilateral calcified hilar lymph node. This is seen in healed primary tuberculosis. Source: Cardiothoracic Imaging, Introduction to Diagnostic Radiology Citation: Elsayes KM, Oldham SA. Introduction to Diagnostic Radiology; 2015 Available at: Accessed: November 01, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved

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