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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 341:182-190 July 15, 1999 Number 3
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Case 21-1999— A 69-Year-Old Man with Exposure to Talc and a Pulmonary Mass
Simon D. Spivack, and Eugene J. Mark

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Presentation of Case

A 69-year-old man was admitted to the hospital because of the radiologic finding of pulmonary nodules.

The patient had been well until several weeks earlier, when a cough, fever, and dyspnea developed. A thoracic radiograph obtained at another hospital 11 days before admission (Figure 1) showed an irregular nodule, 2 by 1.5 cm, in the right upper lobe and additional bilateral nodules. There was no hilar or mediastinal lymphadenopathy. A thoracic computed tomographic (CT) scan (Figure 2A and Figure 2B) revealed a spiculated mass in the periphery of the right upper lobe and multiple smaller nodules, . . . [Full Text of this Article]

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Dr. Simon D. Spivack's Diagnoses

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