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Roentgenogram of the Month |

Fever, Pleuritic Chest Pain, and a Lung Mass in a 43-Year-Old Man*

Roberto Benzo, MD; Steven A. Sahn, MD, FCCP
Author and Funding Information

*From the Centro de Diagnóstico (Dr. Benzo), Clinica Colón, Mar del Plata, Argentina; and the Division of Pulmonary and Critical Care Medicine, Allergy and Clinical Immunology (Dr. Sahn), Medical University of South Carolina, Charleston, SC.



Chest. 2000;118(2):542-544. doi:10.1378/chest.118.2.542
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Extract

A 43 -year-old white man was referred to the clinic with a 3-week history of temperatures to 39°C and pleuritic pain in his left chest. He had a nonproductive cough that exacerbated the chest pain. There was no history of dyspnea, night sweats, or weight loss. He was treated for 2 weeks with clarithromycin, 500 mg bid; however, the patient’s fever and chest pain persisted. His chest radiograph, which was initially normal, developed a well-demarcated opacity in the left base. His medical history was unremarkable. He had a 40 pack-year history of cigarette smoking. He had no history of alcohol or drug abuse, took no medications, and had no known allergies. He worked as a salesman.

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