This 42 years old non-smoker had a small nodule on the chest radiograph. The CT showed a small 7mm nodule in the right apex, with a small central cavity. There was mild enhancement, which made the nodule indeterminate (Figs. 1, 2) and a CT-guided biopsy was offerred to the patient. The patient was extremely co-operative with his breath-holds, allowing accurate needle placement (Figs. 2, 3). Post-biopsy, there was mild peri-nodule hemorrhage (Fig. 4), with hemorrhage along the needle tract upto the pleura, which prevents the occurrence of a pneumothorax.
The report was of a necrotizing granuloma, most likely to be of tuberculous etiology, though acid-fast bacilli (AFB) were not found.
Comments