case_images: PMC10867547_01
case_images: The chest X-ray of the patient showing a nodular opacity in the right lower lobe (July 22, 2023).
case_images: cureus-0016-00000052350-i01.jpg
case_images: PMC10867547_01_cureus-0016-00000052350-i01.jpg
case_images: FIG1
case_images: Chest X-ray of the patient conducted in October 18, 2019.
case_images: cureus-0016-00000052350-i02.jpg
case_images: PMC10867547_01_cureus-0016-00000052350-i02.jpg
case_images: FIG2
case_images: Computed tomography (CT) of the thorax revealing multiple variably sized, ill-defined pulmonary lesions/nodules at the periphery of both lower lobes, along with small nodules observed at the periphery of both upper lobes (July 23, 2023).
case_images: cureus-0016-00000052350-i03.jpg
case_images: PMC10867547_01_cureus-0016-00000052350-i03.jpg
case_images: FIG3
case_images: The major vascular structures were grossly unremarkable; major airways were patent, and no pericardial effusion, pleural effusion, pneumothorax, or significant abnormalities in visualized bone were observed (Figure 3). 
case_images: CT-guided biopsy of the nodule (August 10, 2023).. CT, computed tomography
case_images: cureus-0016-00000052350-i04.jpg
case_images: PMC10867547_01_cureus-0016-00000052350-i04.jpg
case_images: FIG4
case_images: Microbiological examinations were negative, including bacterial, mycobacterial, and fungal cultures (Figure 4).