Bilateral pulmonary nodules in a patient with extensive autoimmune disease

[...]surgical thoracoscopy was performed with wedge resection. The disease has no specific signs and symptoms; 36% of patients are asymptomatic at diagnosis.2 Radiographic imaging shows variable presentation.3 Diagnosis requires a surgical biopsy, usually wedge resection, during video-assisted thoracoscopy or thoracotomy, as the yield from bronchoscopic transbronchial and CT-guided biopsies is very low.4 Immunohistochemical staining is crucial to assess the architecture of the lymphoid infiltrate and to exclude other lymphomas.1 Pulmonary MALT lymphoma has an excellent 5-year overall survival rate (>80%). Contributors SP, the principal author, made substantial contributions to study conception and design, acquisition, analysis and interpretation of data, and drafting and final revision of the manuscript.