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Mucoid impaction mimicking multiple metastatic lung cancer

Yi-Chih Huanga,b, Hsu-Chao Changb,c, Yi-Hsin Leed, Mei-Chen Yanga,b*

aDivision of Pulmonary Medicine, Department of Internal Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan, bSchool of Medicine, Tzu Chi University, Hualien, Taiwan, cDepartment of Radiology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan, dDepartment of Anatomy Pathology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan
 

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Open Access funded by Buddhist Compassion Relief Tzu Chi Foundation

Abstract
 
The most common etiology of multiple pulmonary nodules is metastatic lung cancer. Although benign etiologies have been reported, mucoid impaction less commonly presents as multiple pulmonary nodules. Herein, we report the case of an 81-year-old demented man who presented with multiple pulmonary nodules due to mucoid impaction. Chest radiographs revealed rapid resolution after tracheostomy and adequate mucu  clearance. We suggest that mucoid impaction may present as multiple pulmonary nodules mimicking multiple metastatic lung cancer.
 
Keywords: Metastatic lung cancer, Mucoid impaction, Pulmonary nodules
 
 

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