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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 330:1516-1522 May 26, 1994 Number 21
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Case 21-1994— A 20-Year-Old Mexican Immigrant with Recurrent Hemoptysis and a Pulmonary Cavitary Lesion
Edward A. Nardell, and George Kucyj

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Presentation of Case

A 20-year-old man was admitted to the hospital because of recurrent hemoptysis and a pulmonary cavity.

The patient had been well until 20 months earlier, when he was admitted to another hospital because of a spontaneous left pneumothorax. A chest tube was inserted, and the pneumothorax diminished. X-ray films of the chest, obtained on the day of discharge, showed a left apical hydropneumothorax and diffuse left pleural thickening or loculated fluid; the other lung regions and mediastinum were normal.

The patient was well thereafter until five months before entry, when night sweats developed. One month later he returned to the . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Edward A. Nardell's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Addendum

References



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