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A 42-year-old Filipino woman was referred to a respiratory clinic after incidental bilateral nodular opacities were discovered on a routine immigration chest X-ray (figure 1). She reported a 5-month history of intermittent dry cough, but no haemoptysis, chest pain, breathlessness or weight loss. She was systemically well. She has a medical history significant for ameloblastoma, a benign tumour of the jaw, which was excised in 2004, and previous ovarian chocolate cyst in 2002 that was complicated by the need for ureteric stenting. She is a lifelong non-smoker. She immigrated to New Zealand on a work visa in 2016, and works full time in a supermarket.
Clinical examination revealed a body mass index of 28. …
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