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Pulmonary Alveolar Microlithiasis

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Imaging findings

Diffuse, widespread calcified nodules throughout both lungs, without associated fibrosis or lymphadenopathy.

Key takeaways

Pulmonary alveolar microlithiasis is a rare condition characterized by widespread alveolar calcifications. While classic textbook cases often show more severe, diffuse calcifications, this case represents a milder presentation, independently confirmed by two bronchoscopies. It's a progressive disease that may eventually require transplant evaluation.

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