Pulmonology

MD IQ

The Clinical Picture

Drug reaction or metastatic lung cancer?

Imaging shows nodules randomly distributed throughout both lungs, a paradoxical reaction to drug therapy.

IM Board Review

Fever after recent travel

The patient had been taking a TNF-alpha inhibitor and had recently returned from Mexico.

The Clinical Picture

Sarcoidosis mimicking lytic osseous metastases

Sarcoidosis involves the lung in more than 90% of cases; skeletal involvement has been reported in 1% to 14%.

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