Abstract
A 75-year-old male presented to the emergencydepartment with severe chest pain. The patient hadnever smoked and had a long-standing skin disorder.Physical examination revealed multiple small skin-coloured papules on his face, chest and back.A CT angiogram was performed, which ex-cluded aortic dissection and pulmonary embolus.However, incidental pulmonary findings were found(Figure 1).Based on these images, what is your differentialdiagnosis?What is your best diagnosis given the clinical historyand physical exam findings?Given this diagnosis, what other organ might beabnormal?
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