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

3. 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

18. 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)