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The HRCT of the chest showed subtle ground glass appearance of both lungs with a few focal areas of confluence. Superimposed on this were multiple peripheral nodules. No adenopathy or effusions were seen. Findings are consistent with bilateral non-specific reticular nodular disease.

TO SUMMARIZE, he is a 12 year old boy presenting with acute pneumonia who is clubbed. He has chronic lung disease with multiple nodules and a protein losing enteropathy.

WHAT IS YOUR DIFFERENTIAL DIAGNOSIS?


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