Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Nov 12, 2012.
What is your medical diagnosis ?
Multiple coin shaped lesions in a person who is apparently critical ( I can spot a wire entering the heart ). So my first impression is - Secondary mets to lung.
Now if this patient was relatively symptom free - I would go for Alveolar Sarcoidosis ( a rare form of sarcoidosis which resembles lung mets )
Can't b miliary tb as it will hav a more finer reticulo-nodular pattern.
Can't b multiple myeloma, as those would be lytic lesions, limited to the ribs.
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