Pulmonary lymphomatoid granulomatosis presenting with neuropathy and renal nodules

Pulmonary lymphomatoid granulomatosis is a rare diagnosis that frequently presents with a constellation of seemingly unrelated signs and symptoms. It can present with bilateral pulmonary nodules, subcutaneous skin nodules, renal nodules, and peripheral neuropathy. Its protean manifestation, both clinically and radiologically, may delay a definitive diagnosis. We present the case of a patient who had thoracotomy twice and waited for nearly a year to get the final diagnosis because of the presence of a variety of seemingly unrelated symptoms.