A 31-year-old woman was receiving long-term total parenteral nutrition. Her Rou-en-Y gastric bypass was complicated by small bowel resection. She was presented to the pulmonology department for the exertional dyspnea that had progressed for the past 1 year. Examination Normal oxygen saturation while breathing ambient air. No respiratory distress was observed. Breath sounds were normal in all lung fields.
No wheezing, ronchi, or crackles were observed. Chest CT revealed diffuse, innumerable centrilobular nodules in both lungs (Panel A). Lung biopsy sample images were obtained (Panel B). Do you believe this can be pulmonary foreign body granulomatosis? *This case is from Docplexus editorial team for educative purpose only. Source: NEJM Stay connected, the answer will be posted within next 48h!
