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Case Records of the Massachusetts General Hospital
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Volume 354:2485-2493 June 8, 2006 Number 23
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Case 17-2006 — A 34-Year-Old Man with Cavitary Lung Lesions
Ephraim P. Hochberg, M.D., Matthew D. Gilman, M.D., and Robert P. Hasserjian, M.D.

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Presentation of Case

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 . . . [Full Text of this Article]

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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