PMC9874059_01
Antero-Posterior (AP) chest radiograph showing innumerable pulmonary nodules up to 4 mm in greatest dimension in both lungs, predominantly involving the mid to lower lung fields.
gr1.jpg
PMC9874059_01_gr1.jpg
fig1
Initial chest radiograph (Fig. 1) showed innumerable pulmonary nodules in both lungs, up to 4 mm in greatest dimension, predominantly involving the middle to lower lung fields.
Computed Tomography (CT) chest showing innumerable pulmonary nodules scattered throughout the lungs measuring 2-5 mm in greatest dimension.
gr2.jpg
PMC9874059_01_gr2.jpg
fig2
High-Resolution Computed Tomography (HRCT) (Fig. 2, Fig. 3) showed innumerable pulmonary nodules scattered throughout the lungs and along the broncho-vascular bundles measuring 2-5 mm.
Right robotic video assisted thoracoscopic surgery (VATS). Notice the granular appearance of the surface of the lung.
gr4.jpg
PMC9874059_01_gr4.jpg
fig4
The patient subsequently underwent a right video assisted thoracoscopic surgery (VATS) (Fig. 4) and segmentectomy of the basilar segment of the right lower lobe, the medial segment of the right middle lobe, and the anterior segment of the right upper lobe without any complications.
Microscopic image showing ramifying spicules of woven bone along the inter-alveolar septa (Hematoxylin and Eosin staining; 100  objective).
gr5.jpg
PMC9874059_01_gr5.jpg
fig5
Microscopically (Fig. 5, Fig. 6), diffuse ramifying spicules of mature woven bone arranged in a serpentine fashion along the alveolar septa associated with fatty bone marrow were identified, confirming the diagnosis of DPO.