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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 336:1895-1903 June 26, 1997 Number 26
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Case 20-1997— A 74-Year-Old Man with Progressive Cough, Dyspnea, and Pleural Thickening
Richard L. Kradin, and Eugene J. Mark

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Presentation of Case

A 74-year-old man was admitted to the hospital because of increasing dyspnea and a cough.

The patient had been well until five months earlier, when dyspnea developed with a cough that produced minimal amounts of clear sputum. An antibiotic was prescribed, but it was ineffective. Another antibiotic was administered three weeks later, again without success. The dyspnea worsened over the next few weeks, and the patient could not play golf or maintain his active lifestyle.

Seven weeks before the current admission, the patient entered another hospital. The temperature was 38.1°C. The white-cell count was 17,100 per cubic millimeter. A computed . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Richard L. Kradin's Diagnoses

Pathological Discussion

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