Case presentation A 65-year-old retired construction worker presented to his general practitioner with a cough. The cough was non-productive, and he denied feeling significantly short of breath. He also denied any history of fever and weight loss. He was a non-smoker and had been otherwise well, aside from taking a thiazide diuretic for hypertension, which was well-controlled. He only had a history of hernia repair and appendicectomy for many years.
In his occupational history, he had retired from construction work at 50 years of age and worked in an administrative role for the last 15 years. Examination Upon examination, he appeared well. There were good air entry and chest expansion bilaterally, and breath sounds were vesicular; no additional sounds were noted. A routine chest radiograph was performed (Cover image 1). Upon reviewing the radiograph, the GP requested a CT scan of the…