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A 66-Year-Old Man With Dyspnea, Left Lower Lobe Infiltrate, and Abnormal Imaging*

Mary Margaret Lewis, MD; Edward Tsou, MD, FCCP
Author and Funding Information

*From the Division of Pulmonary and Critical Care Medicine, Georgetown University Medical Center, Washington, DC.

Correspondence to: Mary Margaret Lewis, MD, Division of Pulmonary and Critical Care Medicine, Georgetown University Medical Center, 3800 Reservoir Rd, NW, Washington, DC 20007



Chest. 2000;117(6):1782-1786. doi:10.1378/chest.117.6.1782
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Extract

A 66 -year-old nonsmoking man was referred to the pulmonary clinic for workup after abnormal findings on chest radiograph were discovered during his evaluation for cardiac disease. The patient had a history of mitral regurgitation and atrial fibrillation, and he had lived in China at an altitude of 1,900 m all of his life. He traveled to the United States for evaluation of dyspnea.

Over the past 1 year, he had been hospitalized three times for dyspnea, which was thought to be secondary to cardiac disease. His exercise tolerance included two flights of stairs or brisk walking. He had a chronic cough productive of approximately 50 mL of white sputum per day. He denied hemoptysis, fever, chills, or sweats.

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