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A 50-year-old male farmer, a chronic smoker (30 pack-years), was referred to our Institute for persisting pulmonary opacity in chest radiographs taken over an 12-year period. He had chronic cough and mild dyspnea upon exertion. His stature was short (height 145 cm). Around his knee and wrist joints

A middle-aged man with persisting chest opacity and multiple bony swellings