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A 75-year-old woman who has never smoked presented to the clinic with a chronic daily cough. The cough was dry and occasionally productive of white phlegm; it was associated with mild dyspnea and an unintentional weight loss of 12 pounds over six months. She denied fever, chills, chest pain, and night sweats. She had no history of any exposure to tuberculosis or prior malignancy and had a negative PPD test.

Diffuse cystic lung disease due to pulmonary metastasis of bronchogenic adenocarcinoma