Multiple pulmonary nodules in a 34-year-old woman. Endolymphatic stromal myosis.

A 34-year-old black woman was being evaluated for vaginal bleeding as an outpatient when abnormal findings on chest roentgenogram were noted (Fig 1). She complained only of vague abdominal discomfort and had no respiratory complaint. Her past medical history was significant for menometrorrhagia in 1981 which resulted in an abdominal hysterectomy. The ovaries were left intact. She was receiving no medication, had no allergies or history of illicit drug, alcohol or tobacco use. Positive physical findings were limited to obesity and mild, ill-defined abdominal pain on palpation. There was no guarding, rigidity, rebound, masses or organomegaly.