FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 348:2019-2027 May 15, 2003 Number 20 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

Presentation of Case

A 47-year-old man was evaluated in the pulmonary clinic because of waxing and waning pulmonary lesions several years after treatment for seminoma.

The patient had been well until five years earlier, when a left testicular seminoma was diagnosed. A left radical orchiectomy was performed; there was no evidence of lymphatic or blood-vessel invasion, and the resection margins, epididymis, and spermatic cord were free of tumor. A computed tomographic (CT) study of the chest, performed after the oral administration of contrast material, disclosed slight anterior pericardial thickening, with no axillary, hilar, or mediastinal lymphadenopathy or evidence of pulmonary parenchymal or pleural . . . [Full Text of this Article]

Differential Diagnosis

Cancer

Noninfectious, Nonmalignant Causes of Pulmonary Nodules

Bronchiolitis Obliterans with Organizing Pneumonia

Gastrointestinal Reflux and Aspiration

Clinical Diagnosis

Dr. Carolyn M. Fleming's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Divisions of Pulmonary Medicine (C.M.F.) and Thoracic Radiology (J.O.S.) and the Department of Pathology (E.J.M.), Massachusetts General Hospital, and the Departments of Medicine (C.M.F.), Radiology (J.O.S.), and Pathology (E.J.M.), Harvard Medical School — both in Boston.

This article has been cited by other articles:

• Cordier, J-F. (2006). Cryptogenic organising pneumonia.. Eur Respir J 28: 422-446 [Abstract] [Full Text]