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Pulmonary and Critical Care Pearls |

A 52-Year-Old Man With a Lung Mass and Acute Abdominal Pain*

Anthony Papagiannis, MD, FCCP; Kostas Zarogoulidis, MD, PhD; Dimitrios Delis, MD; Dimitrios Patakas, MD, PhD
Author and Funding Information

*From the Academic Pulmonary Department, George Papanikolaou Hospital, Thessaloniki, Greece.

Correspondence to: Anthony Papagiannis, MD, FCCP, Gregoriou E’ 42, GR 542 49, Thessaloniki, Greece; e-mail: antpap@the.forthnet.gr



Chest. 2000;117(3):894-896. doi:10.1378/chest.117.3.894
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Extract

A 52 -year-old man who was a heavy smoker was referred for investigation of voice hoarseness. Physical examination disclosed a left-sided hard supraclavicular lymph node. The initial chest radiograph is shown in Figure 1 . Fiberoptic bronchoscopy showed a paralyzed left vocal cord and stenosis of the left upper lobar bronchus; endobronchial biopsies were obtained. The lymph node was separately excised under local anesthesia.

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