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ACCP-SEEK Board Review Question of the Month |

A 51-Year-Old Man With a Complicated Medical History and Abnormal Chest Radiographic Finding*

Marvin I. Schwarz, MD, FCCP
Author and Funding Information

*From the ACCP-SEEK program, reprinted with permission. Items are selected by Department Editors Richard S. Irwin, MD, FCCP, and John G. Weg, MD, FCCP. For additional information about the ACCP-SEEK program, phone 1-847-498-1400.

Correspondence to: Marvin Schwarz, MD, FCCP, Pulmonary Sciences and Critical Care Medicine, University of Colorado Health Sciences Center, 4200 E. 9th Ave, Box C272, Denver, CO 80262; e-mail: MarvinSchwarz@UCHSC.edu.



Chest. 2001;119(6):1948-1950. doi:10.1378/chest.119.6.1948
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Extract

A 51-year-old man is referred for evaluation of an abnormal chest radiograph finding showing a chest mass. The patient has no chest complaints. He has a diagnosis of COPD (FEV1, 2.0 L; 55% of predicted) and gave up smoking 7 years ago when he received a diagnosis of multiple sclerosis. This was followed by a diagnosis of Parkinson’s disease 3 years later. Soon after that, he developed an atrioventricular block requiring a permanent pacemaker. He developed spondylosis of the cervical spine with torticollis, and 1 year ago, he underwent a C2-T4 spinal fusion. This was complicated by postoperative bilateral aspiration pneumonia, from which he recovered.

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