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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 55-Year-Old Man With Fever Together With Submandibular and Lung Masses*

Wah-Shing Leung, MBChB; Nancy Wah-Fun Yuen, MBBS; Veronica Lee Chan, MBChB; Chung-Ming Chu, MD, FCCP
Author and Funding Information

*From the Departments of Medicine and Geriatrics (Drs. Leung, Chan, and Chu) and Pathology (Dr. Yuen), United Christian Hospital, Hong Kong, SAR, China.

Correspondence to: Chung-Ming Chu, MD, FCCP, Division of Respiratory Medicine, Department of Medicine and Geriatrics, United Christian Hospital, Hong Kong SAR, China; e-mail: chucm@ha.org.hk



Chest. 2006;129(2):488-492. doi:10.1378/chest.129.2.488
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A 55-year-old man presented in January 2002 with a cough, left lower chest wall pain, and fever for 1 month. His medical history was remarkable for a right neck mass in 1998, when an MRI had shown a right submandibular mass with invasion of the surrounding structures (Fig 1 ). A wide resection of the mass was performed, with histology showing fibrosis and chronic inflammatory infiltrate (Fig 2 ). In 2000, he had presented with right proptosis and right third cranial nerve palsy. His right eye vision was also impaired with a large central scotoma. His eye condition improved with systemic corticosteroid therapy.

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