Symptomatic Pulmonary Hyalinizing Granuloma
Document Type
Article
Publication Date
1-1-1998
Description
An otherwise healthy 37-year-old man came to the emergency room with left-sided dull chest pain of 4 weeks' duration. Physical examination, laboratory studies, and electrocardiogram were all unremarkable. A chest x- ray film revealed calcified pulmonary nodules. Computed tomography of the chest confirmed bilateral parenchymal cavitary lesions. Via limited thoracotomy, a tan nodule measuring 2.5 to 3.0 cm in diameter was excised from the left upper lobe. Histopathologic examination revealed a well circumscribed lesion and extensive lamellar hyalinization. A few loci of finely granular calcification were present within the hyalinizing areas. After surgery and short-term use of nonnarcotic analgesics, the chest pain resolved. Although pulmonary hyalinizing granuloma (PHG) is known to produce cavitating lesions, calcification at multiple sites is also consistent with this diagnosis. Clinicians should remember to include PHG in the differential diagnosis of multiple pulmonary nodules.
Citation Information
Ramirez, Jesus; Mehta, Jay B.; Taylor, Robert A.; Byrd, Ryland P.; and Roy, Thomas M.. 1998. Symptomatic Pulmonary Hyalinizing Granuloma. Southern Medical Journal. Vol.91(9). 867-869. https://doi.org/10.1097/00007611-199809000-00014 PMID: 9743062 ISSN: 0038-4348