Author/Authors :
Rahatullah, Arsalan Aga Khan University Hospital - Department of Medicine, Section of Pulmonary Critical Care Medicine, Pakistan , Waheed, Zeeshan Aga Khan University Hospital - Department of Medicine, Section of Pulmonary Critical Care Medicine, Pakistan , Khan, Javaid A Aga Khan University Hospital - Department of Medicine, Section of Pulmonary Critical Care Medicine, Pakistan , Nasir-ud-Din Aga Khan University Hospital - Department of Pathology, Pakistan
Abstract :
Pulmonary hyalinising granulomas are rare, noninfectious fibrosclerosing lesions of the lung which can mimic metastatic disease. It was first described in literature by Engleman et al in the year 1977. Its etiology is unknown but they may be caused by an exaggerated immune response. The patient typically presents with cough, chest pain, dyspnoea or haemoptysis in association with multiplebilateral parenchymal nodules. We report the case of a 20 years old male who presented with a 12-month history of worsening dry cough. His plain chest radiograph and subsequent CT scan revealed bilateral pulmonary nodules. A CT guided biopsy of the pulmonary lesions was consistentwith Pulmonary Hyalinising Granuloma [PHG].
