Chest radiograph and computed tomography findings at our patient’s first visit. (A) Chest radiograph demonstrating pleural wall thickening on the right side of the apex and upper lung field. (B) Multiple nodular lesions, typically 10mm or less in diameter, can be observed throughout the lung fields on high-resolution chest computed tomography scan (arrows). The nodular lesions are mostly ground-glass opacities, while some have a higher density. (C) A chest computed tomography scan demonstrating the bone sclerosis lesions at Th3, Th6, and the first costal bone (arrows).