• Jonathan Z Xian, Sujith V Cherian, Modupe Idowu, Lei Chen, and Rosa M Estrada-Y-Martin.
• Department of Internal Medicine, University of Texas Health Science Center at Houston-McGovern Medical School, Houston, TX. Electronic address: jonathan.xian.1@uth.tmc.edu.
• Chest. 2019 Feb 1; 155 (2): e51-e54.

Case PresentationA 45-year-old woman presented for evaluation for 3 months of coughing and dyspnea. A recent chest CT scan done for workup of her symptoms revealed a 2-cm right-sided pulmonary nodule. She had a medical history of Sjögren syndrome, hypertension, and obesity. She also noted a weight loss of 30 lb over the last 3 years. She denied smoking, alcohol consumption, illicit drug use, or occupational exposures. A chest radiograph done 3 years prior did not reveal any pulmonary nodules. She had no personal or family history of arteriovenous malformations, hamartomas, or any malignancies and had been up to date with her breast cancer screening. She was treated with courses of hydroxychloroquine and mycophenolate mofetil for her Sjögren syndrome and did not have a history of opportunistic pulmonary infections. She denied any recent travel or exposure to TB.Copyright © 2018 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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