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We present the case of a 67-year-old woman with a 3-week history of dysphagia in the absence of any respiratory or constitutional symptoms. A lifelong non-smoker with no significant medical comorbidities, it was thought unusual that a routine chest radiograph (figure 1) demonstrated diffuse, small, irregular nodules throughout her lung fields. The diagnosis of primary lung adenocarcinoma was made on the basis of a CT-guided biopsy (figure 2). It is likely that this atypical …
Contributors NW and DJ contributed equally to the writing of the manuscript. JB was responsible for editing the manuscript. GW was responsible for the radiological interpretation.
Competing interests None declared.
Patient consent Obtained from patient’s daughter and next of kin.
Provenance and peer review Not commissioned; externally peer reviewed.
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