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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.
Differential Diagnosis
Clinical Diagnosis
Dr. Stephen N. Kales's Diagnoses
Pathological Discussion
Anatomical Diagnosis
References
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