• Natalia Moguillansky and Ali Ataya.
• Division of Pulmonary, Critical Care and Sleep Medicine, University of Florida, Gainesville, FL. Electronic address: Natalia.Moguillansky@medicine.ufl.edu.
• Chest. 2021 Jun 1; 159 (6): e381-e384.

Case PresentationA 44-year-old woman with a history of renal cell carcinoma and thyroid cancer was referred to our institution for evaluation of cystic lung disease. She was an active smoker with a 15-pack-year of tobacco use. Two years before her presentation, she underwent a left nephrectomy for renal cell carcinoma, clear cell type. Four months before, she had a total thyroidectomy that showed nodules consistent with noninvasive follicular thyroid neoplasm with papillary like nuclear features. She had no previous pulmonary complaints. Her family history was positive for breast cancer in her grandmother. There was no family history of pneumothorax. She complained of mild shortness of breath with exertion and occasional nonproductive cough. As part of her oncologic work up, she underwent a chest CT scan of the lungs (Fig 1).Copyright © 2021 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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