PMC5487223_01
Left pleural effusion.
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The chest X-ray (Fig. 1) showed a moderate left pleural effusion; she reported no comorbidity.
Painful swelling of the right wrist and hand.
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One month later, she presented with a swelling of her right wrist without fever (Fig. 2).
Wrist MRI SE T1-weighted axial section shows a non-homogeneous solid mass involving extensor digitorum tendons.
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An MRI scan showed a typical picture of tenosynovitis (Fig. 3).
Small nodules in both upper lobes with no sign of left pleural effusion.
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Irregular nodules in the left apex of the lung and tree-in-bud opacities in the upper lobes.
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CT scan showed both speculated nodules and branching focal centrilobular opacities consistent with the so called tree-in-bud pattern in the upper lobes (Fig. 5).