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Dr. Anna Kagan (Department of Medicine): A 34-year-old man was admitted to this hospital because of cough, dyspnea, and cavitary lung lesions. Over a period of several days three months before admission, the patient began to have progressive dyspnea, a nonproductive cough, chills, and night sweats. He went to the emergency department of another hospital, where chest radiographs and computed tomography (CT) revealed micronodular lesions throughout both lungs, predominantly in the right middle and both lower lobes. Video-assisted thoracoscopic wedge biopsy of the right lung was performed. Pathological examination of the biopsy specimens disclosed a nodular angiocentric lymphohistiocytic infiltrate; no
Differential Diagnosis
Rheumatologic and Inflammatory Diseases
Malignant Diseases
Dr. Ephraim P. Hochberg's Diagnosis
Pathological Discussion
Discussion of Management
Anatomical Diagnosis
Source Information
From the Division of Hematology and Oncology, Department of Medicine (E.P.H.), and the Departments of Radiology (M.D.G.) and Pathology (R.P.H.), Massachusetts General Hospital; and the Departments of Medicine (E.P.H.), Radiology (M.D.G.), and Pathology (R.P.H.), Harvard Medical School.
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