title: Bilateral pulmonary nodules in an adult patient with bronchiolitis obliterans-organising pneumonia.
abstract: A 58-year-old male ex-smoker was admitted to hospital because of nodular infiltrates on chest x rays. He was complaining of fatigue, dyspnoea with exertion, low grade fever and weight loss. Physical examination was unremarkable. Bronchoscopy was inconclusive but revealed endobronchial lesions of chronic active inflammation. The diagnosis of cryptogenic organising pneumonitis bronchiolitis obliterans-organising pneumonia (COP-BOOP) was established by open lung biopsy. Proliferative bronchiolitis with regions of organising pneumonia is the characteristic feature of COP. The radiological picture of bilateral pulmonary nodules is an infrequent manifestation of COP. Lung biopsy, open or with video assistance thoracic surgery, is recommended to confirm the diagnosis.
authors.affiliation: Department of Intensive Care, Edessa State Hospital, Fidiou 9 Street, Edessa, 45500, Greece.
authors.forename: Antonios
authors.initials: A
authors.lastname: Kopanakis
authors.forename: Christos
authors.initials: C
authors.lastname: Golias
authors.forename: George
authors.initials: G
authors.lastname: Pantentalakis
authors.forename: Michalis
authors.initials: M
authors.lastname: Patentalakis
authors.forename: Charalampos
authors.initials: C
authors.lastname: Mermigkis
authors.forename: Christos
authors.initials: C
authors.lastname: Mermigkis
authors.forename: Alexandros
authors.initials: A
authors.lastname: Charalabopoulos
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Peschos
authors.forename: Anna
authors.initials: A
authors.lastname: Batistatou
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Charalabopoulos