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A 56-year-old woman with a medical history notable for epilepsy, scoliosis, and chronic constipation presented with shortness of breath and cough, which she reported having had for the past 10 days. A chest radiograph was obtained. Her medications consisted of phenytoin, tegaserod, fluticasone–salmeterol, and an albuterol inhaler. What is the diagnosis?
Editor's note: We invite our readers to submit their answers at NEJM.org/mystery. We will publish the diagnosis in the Correspondence section of the March 19, 2009, issue and e-mail it to everyone who submits an answer. All answers must be received by February 4, 2009.
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