An unusual cause of pulmonary nodules: Pulmonary hyalinizing granuloma with recurrence

Abstract

We present a case of pulmonary hyalinizing granuloma (PHG) associated with a history of pleural effusion, autoimmune thyroiditis and spontaneous ecchymosis especially periorbitally. She presented with complaints of dyspnea, cough and chest pain. Two right-sided pulmonary nodules were resected and proved to be PHG histopathologically. After a 2 years follow up, we have seen multiple bilateral nodules of varying size which were considered as recurrence by excluding all possible primary or metastatic malignancy.