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The patient was a 54-year-old man with symptoms of chronic obstructive pulmonary disease (COPD) who had smoked for many years. A thoracic CT showed bilateral bullae and a tumour measuring 35×25 mm in the right upper lobe (figure 1). Radiological features were consistent with an intraparenchymatous lung tumour. A right upper lobectomy was performed. Gross examination of the surgically excised specimen revealed a nodular lesion measuring 5×5 cm in diameter.
Handling editor Iskander Chaudhry.
Contributors JL prepared the manuscript and diagnosed the case. AG provided critical clinical information.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.