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Roentgenogram of the Month |

Necrotic Mass-like Upper Lobe Opacity*

Craig E. Stewart, BA; Helen T. Winer-Muram, MD; S. Gregory Jennings, MD; Ian Dowdeswell, MD; Cristopher A. Meyer, MD
Author and Funding Information

*From the Department of Radiology (Mr. Stewart, and Drs. Winer-Muram, Jennings, and Meyer), Indiana University School of Medicine, Indianapolis; and Division of Pulmonary and Critical Care Medicine (Dr. Dowdeswell), Department of Medicine, Indiana University School of Medicine, Indianapolis, IN.

Correspondence to: Helen T. Winer-Muram, MD, Richard L. Roudebush VA Medical Center, Department of Radiology, 1481 West 10th St, Indianapolis IN 46202; e-mail: hwinermu@iupui.edu



Chest. 2003;123(1):277-279. doi:10.1378/chest.123.1.277
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Extract

A 48-year-old woman presented with a 1-month history of left anterior chest wall pain, dyspnea, productive cough, and night sweats. She denied having fever but admitted weight loss of approximately 15 lb over the past 2 months.

Her medical history was unremarkable except for alcohol abuse and a 74-pack-year smoking history. Her vital signs and physical examination were also unremarkable, except for bilateral wheezing and dullness to percussion over the right upper lobe. She had no known exposure history for tuberculosis. The chest radiograph showed an ill-defined opacity at the right upper lobe (Fig 1 ).

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