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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 337:1220-1226 October 23, 1997 Number 17
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Case 33-1997— A 75-Year-Old Man with Chest Pain, Hemoptysis, and a Pulmonary Lesion
John C. Wain, and Eugene J.. Mark

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Presentation of Case

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 (. . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. John C. Wain's Diagnosis

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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.
Extract | Full Text  
N Engl J Med 1998; 338:925-926, Mar 26, 1998. Correspondence

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