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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 330:997-1002 April 7, 1994 Number 14
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Case 14-1994— A 54-Year-Old Woman with Intermittent Hemoptysis, Increasing Exertional Dyspnea, and a Left Mediastinal Mass
Glenn M. LaMuraglia, and Eugene J. Mark

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Presentation of Case

A 54-year-old woman was admitted to the hospital because of intermittent hemoptysis, dyspnea, and a left mediastinal mass.

The patient had been well until seven months earlier, when a cough, fatigue, and hemoptysis developed. She was seen at another hospital, where radiographs of the chest showed patchy and linear opacities in the left lower lobe. Another radiograph of the chest (Figure 1), obtained eight days later, revealed progressive air-space disease in the lingula and left lower lobe and an ill-defined focal opacity in the left upper lobe. Penicillin was prescribed, but the patient was unimproved and began to . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Glenn M. LaMuraglia's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References



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