Chronic cough and intermittent fever.

John R. Gaughen, Jr., M.D. J. Stewart Edmunds, M.D.

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Abstract:  22 year-old male with a three month history of chronic cough and intermittent fever. Prior plain films and chest CT showed bilateral pulmonary nodules and borderline enlarged mediastinal and bilateral hilar lymph nodes. A PET-CT was recommended.
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Question Text 

Based on the PET-CT images, differential considerations would
include:
 

Answers
 Answer: Lymphoma. 
Correct Answer? 
No
Answers
 Answer: Tuberculosis. 
Correct Answer? 
No
Answers
 Answer: Histoplasmosis. 
Correct Answer? 
No
Answers
 Answer: Sarcoidosis. 
Correct Answer? 
No
Answers
 Answer: All of the above. 
Correct Answer? 
Yes
 
Case Study Link: Chronic cough and intermittent fever.