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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 342:572-578 February 24, 2000 Number 8
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Case 6-2000— Hemoptysis in a 20-Year-Old Man with Multiple Pulmonary Nodules
Richard L. Kradin, and Eugene J. Mark

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Presentation of Case

A 20-year-old man was admitted to the hospital because of back pain and hemoptysis.

The patient had been in excellent health until about two and a half months earlier, when pleuritic, right-sided posterior chest pain developed. About two weeks before admission, a paroxysmal dry cough developed, and several days before admission, he began to cough up small amounts of bright red blood without obvious sputum.

One day before admission, he coughed up several hundred milliliters of blood. He was admitted to another hospital, where a bronchoscopic examination was reported to show pearl-like nodules in the trachea that extended to the . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Richard L. Kradin's Diagnosis

Pathological Discussion

Anatomical Diagnosis

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