• Respiratory care · Jul 2013

    Case Reports

    Bilateral micronodular pulmonary infiltrate: is it important to make a histological diagnosis?

    • Kashif Ali Khan and J J Gilmartin.
    • Respiratory Department, Merlin Park Regional Hospital, Galway, Ireland. drkhan95@hotmail.com
    • Respir Care. 2013 Jul 1;58(7):e69-71.

    AbstractPulmonary alveolar microlithiasis is a rare disease characterized by the deposition of calcium phosphate within the alveoli. We report the case of a 20-year-old man with a 6-week history of cough and shortness of breath on exertion. The chest radiograph demonstrated a bilateral symmetrical micronodular pattern. High-resolution computed tomography revealed bilateral diffuse fine nodular shadowing involving the mid zones, with sparing of the apices. The patient underwent a transbronchial lung biopsy, which confirmed the diagnosis of pulmonary alveolar microlithiasis.

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