After a brief hiatus, we are excited to be back today with another Fellows’ Case Files! Today we’re virtually visiting the University of Kansas Medical Center (KUMC) to hear about a fascinating pulmonary presentation. There are some fantastic case images and key learning points. Take a listen and see if you can make the diagnosis along with us. As always, let us know your thoughts and definitely reach out if you have an interesting case you’d like to share.
Dr. Vishwajit Hegde completed his internal medicine residency at University of Kansas Medical Center where he stayed for fellowship and is currently a second year Pulmonary and Critical Care medicine fellow. 
Dr. Sahil Pandya is an Associate Professor of Medicine and Program Director of the PCCM Fellowship at KUMC.
1) Initial frame & diagnostic mindset
2) Imaging pearls—nodular pattern recognition
3) Neuro findings—ring-enhancing lesions
5) “Tissue is the issue”—choosing the procedure
6) ROSE (rapid on-site evaluation) in bronchoscopy
7) Final diagnosis & management
References and Further Reading