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Meningotheliomatosis: A Rare Cause of Diffuse Miliary Pattern Pulmonary Opacities.

A 63 year old female presented for incidentally discovered pulmonary nodules. The Computed Tomography (CT) scan of the chest with contrast showed innumerable and diffusely distributed nodules up to 4mm in a military type pattern [Table/Fig-1]. There was no mediastinal or hilar adenopathy and she denied any respiratory complaints including dyspnea, cough or sputum production. She was born in Paraguay and moved to the United States of America in her early 30’s. Medical, social and family history was remarkable for a 10 pack-year smoking history and occupational chemical fume exposure, working in a compounding pharmacy.