Skip to content

Assembly

A Coin in the Lung

Author
Bonnie R. Wang, MD1, Aamer Chughtai, MD2, Amir Lagstein, MD3, Jakob I. McSparron, MD1
1Division of Pulmonary and Critical Care, University of Michigan, 2Department of Radiology, University of Michigan, 3Department of Pathology, University of Michigan


Case

A 42-year-old daily cigarette and marijuana smoker presented to an Emergency Department with four months of progressive shortness of breath. Representative slices of chest CT scan with contrast compared to a prior CT scan 7 years ago are shown below. The patient subsequently underwent a CT-guided biopsy, and the results are also shown below.

Question

Which of the following is most likely?

A. Infectious granuloma.
B. Hamartoma.
C. Rounded atelectasis.
D. Granulomatosis with polyangiitis.
E. Carcinoid.

Answer