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A 74-year-old male smoker was hospitalized for a transurethral resection of the prostate. His medical history was notable for the insertion of a dual-chamber pacemaker to treat symptomatic bradycardia 10 years earlier. A preoperative chest radiograph (Panel A) raised the suspicion of a parenchymal lung lesion behind the pacemaker. A chest radiograph obtained 6 months earlier (Panel B) was reported as showing a pacemaker with appropriate lead position but no active lung disease. Computed tomography of the thorax was performed (Panel C), revealing a homogeneous mass, measuring 4 by 5 cm, in the right lung, and lying directly behind the . . . [Full Text of this Article] |