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Pulmonary puzzles
Forty-two-year-old woman with incidental bilateral nodular opacities on chest X-ray
  1. Kate Margaret Anglin Magner1,
  2. Lutz Beckert2,3
  1. 1Department of Medicine, Canterbury District Health Board, Christchurch, New Zealand
  2. 2Department of Medicine, Christchurch Hospital, Christchurch, New Zealand
  3. 3Respiratory Medicine, Canterbury District Health Board, Christchurch, New Zealand
  1. Correspondence to Dr Kate Margaret Anglin Magner, Department of Medicine, Canterbury District Health Board, Christchurch 8011, New Zealand; katie.magner{at}

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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.

Figure 1

Chest radiograph

Clinical examination revealed a body mass index of 28. …

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