0
Roentgenogram of the Month |

Upper Lobe Fibrocavitary Disease in a Patient With Back Pain and Stiffness*

Divya Thai, MD; Rita S. Ratani, MD; S. Salama, MD, MPH; Robert M. Steiner, MD, FCCP
Author and Funding Information

*From the Departments of Pulmonary Medicine and Radiology, New York Methodist Hospital and Weill Medical College of Cornell University, New York, NY.

Correspondence to: Rita Ratani, MD, Department of Radiology, New York Methodist Hospital, 506 Sixth St, Brooklyn, NY 11215; e-mail: rratani@hotmail.com



Chest. 2000;118(6):1814-1816. doi:10.1378/chest.118.6.1814
Text Size: A A A
Published online

Extract

A 37 -year-old white man presented with a productive cough, anorexia, weight loss, and night sweats of 4 months’ duration. He also complained of back pain with stiffness. The back pain was worse at night. He was treated for pneumonia 3 years ago and had a 20 pack-year history of smoking.

He was a thin man in no distress. His vital signs were stable and temperature was 38.6°C (101.6°F). Bilateral enlarged firm but nontender axillary and inguinal lymph nodes were noted. Chest wall expansion was limited, but otherwise the thoracic examination was unremarkable. There was kyphosis of the lumbar spine with limited forward bending, The range of motion of the cervical spine was severely limited, and there was no lateral motion of the neck. The pelvis was anteverted, and there was a flexion deformity of both knees.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Topics

back pain

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543