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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 335:417-424 August 8, 1996 Number 6
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Case 24-1996— A 54-Year-Old Woman with Infiltrative Lung Disease and Mild Dyspnea
Andrew G. Villanueva, and Eugene J. Mark

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Presentation of Case

A 54-year-old woman was admitted to the hospital because of radiologic evidence of pulmonary abnormalities.

The patient had been well until one year earlier, when she began to have a dry cough and mild exertional dyspnea. The cough became incessant, keeping her awake at night.

Six and a half months before admission, she was treated at another hospital for pneumonia. Radiographs of the chest (Figure 1) showed bilateral air-space opacities, especially in the left lower lobe, and hilar enlargement consistent with lymphadenopathy. No pleural effusion was evident, and the heart appeared normal. Her condition improved, and she was . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Andrew G. Villanueva's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References




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