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A 75-year-old man was admitted to the hospital because of chest pain, hemoptysis, and a pulmonary lesion.
The patient had been well until four months earlier, when he began to have left-sided posterior pleuritic chest pain, which was more severe when he was supine, was unrelated to external pressure or movement, and was unaccompanied by a cough. During a golfing trip, the pain became more severe, and bouts of hemoptysis subsequently occurred, with the expectoration of 120 ml of blood mixed with mucus two or three times daily for three days. A computed tomographic (CT) scan of the chest (
Differential Diagnosis
Clinical Diagnosis
Dr. John C. Wain's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
Related Letters:
Case 33-1997: A 75-Year-Old Man with Chest Pain, Hemoptysis, and a Pulmonary Lesion
Martens P., Feldman D., Côté E.
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Full Text
N Engl J Med 1998;
338:925-926, Mar 26, 1998.
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