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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 336:1512-1516 May 22, 1997 Number 21
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Case 16-1997— A 42-Year-Old Woman with a Pulmonic-Valve Mass
Lawrence H. Cohn, and Michael R. Pins

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Presentation of Case

A 42-year-old woman was admitted to the hospital because of a mass in the pulmonic valve.

The patient had been in stable health until six weeks earlier, when she began to have a dry cough that occasionally produced white sputum, with fatigue and exertional dyspnea. An examination performed 36 days before admission showed a prominent closure sound of the pulmonic valve (P2), without a murmur. The anteroposterior chest diameter was increased, and the respiratory excursion was reduced. The lungs were clear. Radiographs of the chest showed a normal cardiac silhouette, clear lungs, and esophageal dilatation consistent with achalasia. A . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Lawrence H. Cohn's Diagnosis

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