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October 1966

Solitary Circumscribed Pulmonary NoduleAn Unusual Manifestation of Sarcoidosis

Author Affiliations


From the Department of Medicine, Division of Pulmonary Diseases, University of Illinois Research and Educational Hospitals, Chicago.

Arch Intern Med. 1966;118(4):376-378. doi:10.1001/archinte.1966.00290160076014

T. HE APPEARANCE on x-ray film of a solitary circumscribed pulmonary nodule may present a difficult diagnostic problem. A case report of a solitary circumscribed pulmonary nodule due to sarcoidosis is described. To our knowledge, this is the first such case reported in the literature.

Report of a Case  B.N. was a 58-year-old woman who had been followed in the Out-Patient Department of the University of Illinois Research and Educational Hospitals since 1961 because of intermittent headaches and symptoms of carotid insufficiency. In October of 1965, a chest x-ray film revealed bilateral hilar adenopathy and a nodular lesion in the left lower lobe. A chest x-ray film in April 1965 was normal. She was admitted to the hospital late in October of 1965 for evaluation of her x-ray findings. She had a cough productive of one fourth cupful of clear mucoid sputum daily, and some increase in exertional dyspnea for

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