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Bone lesions in Erdheim-Chester disease are mainly localized to the metaphysis and diaphysis of the long bones, which show areas of sclerosis alternating with lucencies.
Twenty-three patients showed excellent or satisfactory results; however, 54% showed incomplete or complete lucencies on radiographs.
An SPN containing an air bronchogram, bronchiologram, or cystic lucencies is highly suggestive of bronchogenic carcinoma, specifically adenocarcinoma (Figure 13).