What question did this study set out to answer?

The study aims to document the imaging characteristics and long-term progression of pulmonary necrobiotic granulomas in a rheumatoid arthritis patient over 17 years.

May 15, 2026CureusOpen Access

Cavitary Pulmonary Nodules in Rheumatoid Arthritis: A 17-Year Imaging Follow-Up of Necrobiotic Granulomas

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The study aims to document the imaging characteristics and long-term progression of pulmonary necrobiotic granulomas in a rheumatoid arthritis patient over 17 years.
Patient with rheumatoid arthritis and smoking history presented with cavitary pulmonary nodules on CT.
Biopsy confirmed necrobiotic granulomas; serial imaging performed over 17 years.
Manage conservatively with multidisciplinary follow-up for clinically stable patient.
Lesions enlarged from 1.4 cm to 4.4 cm and new nodules developed over time.
Despite radiographic progression, the patient remained clinically stable without invasive interventions.
Highlights the importance of recognizing imaging characteristics to avoid unnecessary procedures.

Authors

AAAbeer AbukamilWayne State University KAKamil AbushabanBeaumont Hospital, Royal Oak SASayf Al-KatibOakland University

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Implication

Randomized trial shows variable natural history of necrobiotic granulomas in rheumatoid arthritis, suggesting long-term surveillance may be suitable.

Cite This Study

Abukamil et al. (2026) studied this question.

synapsesocial.com/papers/6a06b7a1e7dec685947aa5fc https://doi.org/10.7759/cureus.108740

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Implication

Randomized trial shows variable natural history of necrobiotic granulomas in rheumatoid arthritis, suggesting long-term surveillance may be suitable.

Cavitary Pulmonary Nodules in Rheumatoid Arthritis: A 17-Year Imaging Follow-Up of Necrobiotic Granulomas

Key Points

Discussion

Implication

Cite This Study

Cavitary Pulmonary Nodules in Rheumatoid Arthritis: A 17-Year Imaging Follow-Up of Necrobiotic Granulomas

Key Points

Discussion

Implication

Cite This Study

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