We discuss a interest case of an elderly male from Mexico with risk factors for stone cutting presenting with a worsening dry chronic cough in setting of newly diagnosed HCC. Chest CT shows numerous centrilobular and perilymphatic nodules and calcified mediastinal lymphadenopathy. Our differential for “random” (perilymphatic & centrilobular) is broad.

Our patient underwent endobronchial ultrasound guided transbronchial needle aspiration + BAL with Cone Beam CT guided Transbronchial Cryobiopsy. Results showed silicosis and pulmonary Cryptococcus.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s