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Pulmonary and Critical Care Pearls |

A 55-Year-Old Smoker With a Persistent Right Lower Lobe Infiltrate*

Viji Sankaranarayanan, MD; Tomasz M. Zeidalski, MD; Rajinder K. Chitkara, MD, FCCP
Author and Funding Information

*From the Division of Pulmonary and Critical Care Medicine, Stanford University Medical Center and Medical Services, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA.

Correspondence to: Viji Sankaranarayanan, MD, Southern California Permanente Group, 4647 Zion Ave, San Diego, CA 92120; e-mail: vijisank@ureach.edu



Chest. 2005;127(6):2266-2270. doi:10.1378/chest.127.6.2266
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A 55-year-old African-American man presented with a week-long history of cough with blood-streaked sputum. He denied fevers, night sweats, weight change, and sinus symptoms. He was physically active and had no dyspnea on exertion. He reported gastroesophageal reflux symptoms but denied any other complaints. His medical history included diverticulosis and depression. He took no medications. He was an active smoker with a 60-pack-year smoking history. In addition, he smoked crack cocaine with reported use 3 months prior. He denied alcohol or IV drug use. He had no significant travel, occupational, or exposure history.

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