There are two nodules (Fig. 51.2), one in each lower zone where the nipples are supposed to be. These shadows are typically homogeneous in appearance with sharp margins or sharp lateral margins and an absent medial margin. For patients with asymmetric nipples, the diagnosis can be difficult but a repeat CXR (Fig. 51.3) with nipple markers can help confirm that the opacity is due to a nipple.
Case 52. This young female had been coughing for the past few weeks. She also had right-sided pleuritic chest pain. Describe the most obvious CXR abnormality (Fig. 52.1).
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