Table 1

Clinical characteristics

PatientAge (years)SexClinical pictureChest x rayCT chestBone marrowProtein studiesCardiac studiesNeurological findingsSurvival (years)
LUL, left upper lobe; RUL, right upper lobe; RML, right middle lobe; RLL, right lower lobe; LLL, left lower lobe; CT, computed tomography; ECG, electrocardiogram; echo, echocardiogram; LVEF, left ventricular ejection fraction; LVH, left ventricular hypertrophy; PVCs, premature ventricular contractions; MR, mitral regurgitation; TR, tricuspid regurgitation.
145FNon-productive coughNodular density in LUL and RUL10 bilateral pulmonary nodules; no adenopathyNormocellularPolyclonal gammopathy with no monoclonal spikeNormal ECG. Normal echo with LVEF 61%Atypical trigeminal neuralgia6+
285FNon-productive coughRight hilar mass, RML mass, RLL mass, left lingular massMultiple pulmonary nodules, bilateralNormocellularNot doneECG: old anterior septal infarct. Echo: severe concentric LVHNoneDied at 5 years of unknown cause
374FGeneralised weakness, fatigueRLL/anterior mediastinal mass4 × 5 cm pulmonary nodule in anterior mediastinumNormocellularNot doneECG: occasional PVCsNoneLarge cell transformation after 3 years; died within following year
477FWeight lossMultiple densities in right lungFour nodules in RUL, two nodules in left lungNot donePolyclonal gammopathy with no monoclonal spikeNormal ECG. Normal echo with normal LV function, mild MR, trivial TRNone9+
568FAsymptomaticSolitary pulmonary nodule in RLL and diffuse interstitial infiltrates2 cm mass in posterior RLLNormocellularNo monoclonal spikeNormal ECG. Echo: normal LVEF (65–70%), pulmonary hypertensionNone3+
658FAsymptomaticThree pulmonary nodules in LLLThree nodules in posterolateral segments of LLLNormocellularNo monoclonal proteinNormal ECGPost thoracotomy chronic pain syndrome with neuroma formation8+