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A correction has been published: N Engl J Med 1996;334(11):743.

Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 333:1340-1346 November 16, 1995 Number 20
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Case 35-1995— A 55-year-old disabled construction worker with increasing dyspnea and abnormal chest radiographs
S.N. Kales, and E.J. Mark

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Presentation of Case

A 55-year-old man was admitted to the hospital because of increasing dyspnea and abnormal radiographs of the chest.

The patient had been well until three years earlier, when he began to have gradually worsening exertional dyspnea. Thirteen weeks before entry, at the time of a total hip replacement, routine radiographs of the chest (Figure 1) showed diffuse, bilateral pulmonary nodules, 3 mm in size, which in retrospect had been present but fewer in number on x-ray films obtained nine months earlier. The hilar regions were enlarged and dense, suggesting the development of lymphadenopathy; the heart size was normal. . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Stephen N. Kales's Diagnoses

Pathological Discussion

Anatomical Diagnosis

References




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