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A Cystic Upper Lobe Lesion in a Healthy Nonsmoking Man*

Colm T. Leonard, MD; Ann Weinacker, MD, FCCP; Gerald Berry, MD; Richard I. Whyte, MD, FCCP
Author and Funding Information

*From the Division of Pulmonary and Critical Care Medicine (Drs. Leonard and Weinacker) and the Departments of Histopathology (Dr. Berry) and Cardiothoracic Surgery (Dr. Whyte), Stanford University Medical Center, Stanford, CA.

Correspondence to: Colm T. Leonard, MD, North West Lung Centre, Wythenshawe Hospital, Southmoor Rd, Manchester M23 9LT, United Kingdom; e-mail: colmleonard@yahoo.com



Chest. 2001;120(5):1725-1727. doi:10.1378/chest.120.5.1725
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Extract

A 57 -year-old man presented with cough, purulent blood-streaked mucus, and sinus congestion, which resolved with a course of amoxicillin/clavulanate therapy. The patient was noted to have a left upper lobe cystic lesion on a chest radiograph (Fig 1 ) and a CT scan (Fig 2 ). Sputum cytology testing results were negative. Sputum cultures initially revealed Mycobacterium gordonae, but this did not grow on subsequent serial sputum analyses and was presumed to be a contaminant. The patient was a lifelong nonsmoker, was feeling well, had no weight loss, fevers, or sweats, and had not experienced any unusual environmental exposures. The only unusual features in his medical history were a cholecystectomy and a skin lesion on his scalp, which had been removed 3 years previously.

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