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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
Differential Diagnosis
Clinical Diagnosis
Dr. Lawrence H. Cohn's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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