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Updated: Aug 6, 2026

A 3D Digital Model for the Diagnosis and Treatment of Pulmonary Nodules
Published on: May 19, 2023
A 30-year-old male with innumerable millimetric pulmonary nodules: tunnelling thoughts
Delian E Hofman1, Aldo Tanushi1, Frits M E Franssen1
1Department of Respiratory Medicine, Maastricht University Medical Center, Maastricht, the Netherlands.
Abstract:
We report the case of a young Syrian male who presented to the emergency ward with mild exertional dyspnea and centrilobular millimetric pulmonary nodules. Given the broad differential and inconclusive medical history, a comprehensive diagnostic work-up was undertaken. Bronchoscopy with lymph node biopsy revealed a non-specific granuloma, while concurrent infectious screening identified tuberculosis infection (TBI). Further assessment of his occupational history revealed tunnelling work and raised a clinical suspicion for silicosis, an interstitial lung disease caused by the inhalation of crystalline silica dust, which was confirmed by pulmonary biopsy.
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