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A 57-year-old man was admitted to the hospital because of progressive edema and exertional dyspnea.
The patient had been well until eight weeks earlier, when he was admitted to this hospital because of recurrent chest pain. An electrocardiogram showed a normal rhythm at a rate of 69, with poor R-wave progression in the right precordial leads, and elevated ST segments, with a tendency toward biphasic T waves, in leads V3 through V5. A radiograph of the chest revealed patchy air-space disease in the right lower lobe consistent with pneumonia; the cardiac silhouette was normal. The patient received alteplase intravenously.
Differential Diagnosis
Clinical Diagnosis
Dr. Ferdinand J. Venditti, Jr.'s Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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