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ACCP-SEEK Board Review Question of the Month |

A 55-Year-Old Woman With an Intrapulmonary Nodule in a Transplanted Lung*

Stephanie M. Levine, 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: Stephanie M. Levine, MD, FCCP, c/o Schaefer, 22 Sheringham, San Antonio, TX 78218; e-mail: levines@uthscsa.edu



Chest. 2001;120(6):2057-2058. doi:10.1378/chest.120.6.2057
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Extract

A 55-year-old woman with pulmonary fibrosis underwent an uncomplicated right single-lung transplant. In the first posttransplant year, she experienced two episodes of acute rejection requiring augmentation of corticosteroid therapy. Eleven months after the surgery, she presented with a new, 2-cm nodule in her right lung graft. A biopsy specimen is shown in Figure 1. Which of the following would not be considered in the treatment of this diagnosis?

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