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Try out PMC Labs and tell us what you think. Learn More. The discovery of a solitary pulmonary nodule SPN on chest imaging can be alarming for both the clinician and the patient. We present a case here of a patient presenting with prolonged cough who also displayed unilateral SPN on her chest radiograph. Through further examination, this presence was later shown to be a nipple shadow simulating SPN, and the patient was spared unnecessary testing and psychological distress.
Try out PMC Labs and tell us what you think. Learn More. We report a rare case of a year-old Malay woman who presented at Hospital Universiti Sains Malaysia, Kelantan, Malaysia with the symptom of skin erosion on the left nipple and unresponsiveness to multiple topical treatments. Histopathologically, it is characterized by malignant glandular epithelial cells with clear and abundant cytoplasm known as Paget cells. These cells contain mucin together with pleomorphic and hyperchromatic nuclei.
The Sultan The Queen. His elder brother is the Sultan of Brunei, Hassanal Bolkiah. Prince Jefri was the finance minister of his oil-rich country from to He has had five wives, three of whom he is divorced from and two to whom he is still married,  and eighteen children [ citation needed ] aged between around 4 to 37 in Prince Jefri has had a number of legal issues with the state of Brunei, which have amounted to the most costly legal battle in the world. Brunei is a gas and oil rich state ruled by the Sultan in a constitutional sultanate ;  the Sultan has control over every aspect of life in Brunei.