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Amyloidoma and Pulmonary Fibrosis in Sjogren's Syndrome

Imaging findings

Pulmonary fibrosis (subpleural reticulation and bronchiectasis) with associated pulmonary nodules identified as amyloidomas.

Key takeaways

When observing nodules in patients with Sjogren's, consider lymphoma, but also amyloid deposition. Biopsy is essential to differentiate between these entities, especially given the association of radiologic "lymphoid interstitial pneumonia" (LIP) with b-cell malignancy.

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