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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 341:1379-1385 October 28, 1999 Number 18
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Case 33-1999— A 57-Year-Old Woman with a Pulmonary Mass
Robert D. Pugatch, and Eugene J. Mark

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Presentation of Case

A 57-year-old woman was admitted to the hospital because of a pulmonary mass in the left lower lobe.

The patient had been well until seven weeks earlier, when a respiratory infection developed, with chilliness and a cough productive of small amounts of clear sputum. Treatment with an antibiotic was ineffective. Radiographs of the chest, obtained elsewhere, showed a spicular mass, 3 cm in diameter, in the left lower lobe. A computed tomographic (CT) scan of the chest and upper abdomen, obtained without the administration of contrast material, confirmed the presence of the spicular mass, with surrounding ground-glass opacification. No bronchial . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Robert D. Pugatch's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References



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