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A Young Man With Two Large Lung Masses*

Bipin D. Sarodia, MD; Carol Farver, MD; Serpil Erzurum, MD, FCCP; Janet R. Maurer, MD, FCCP
Author and Funding Information

*From the Departments of Pulmonary and Critical Care Medicine (Drs. Sarodia, Erzurum, and Maurer) and Anatomic Pathology (Dr. Farver), The Cleveland Clinic Foundation, Cleveland, OH.

Correspondence to: Janet R. Maurer, MD, FCCP, Head, Section of Lung Transplantation, Department of Pulmonary and Critical Care Medicine, A-90, The Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195; e-mail: maurerj@ccf.org



Chest. 1999;116(3):814-818. doi:10.1378/chest.116.3.814
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Extract

A 37-year-old white man was referred to the Cleveland Clinic Foundation for evaluation of two lung masses noted on chest radiograph and confirmed on CT scan of the chest. He complained of chest pain for 3 months before presentation. It was localized in the left axillary region and later also in the right upper chest, more on inspiration, and was not related to posture or exertion. It was initially attributed to muscle pull caused by heavy exertion on his job, and partially relieved by therapy with ibuprofen for a few days. He returned to the physician for progressive nonproductive severe cough during 2 months. He was found to have weight loss of 5.5 kg during 3 months. He denied fever, dyspnea, exercise limitation, night sweats, fatigue, sinusitis, skin rash, or joint pains. He did not have pets, recent travel, or exposure to tuberculosis (TB). His only significant past medical history was a remote fall causing left-sided rib fractures and accidental dental trauma by his infant’s head 6 months before presentation. He had a 40-pack-year smoking history and consumed up to a 12-pack of beer daily for 5 years. He worked underground installing cables. He was a young man of average build in no apparent distress, with normal vital signs and lung examination, and no chest tenderness. No physical abnormality was detected except the two loose upper incisor teeth with mild tenderness over the surrounding gum. There was no erythema or discharge from the gum.

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