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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 48-Year-Old Woman With Multiple Pulmonary Nodules and a Right Ventricular Mass*

Kelsey Gray, MD, MS; Edward D. Chan, MD; Julia Alvarado, MD
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*From the Department of Internal Medicine (Drs. Gray and Alvarado), Denver Health Medical Center; and Department of Medicine (Dr. Chan), National Jewish Medical and Research Center, Denver, CO.

Correspondence to: Julia Alvarado, MD, Department of Internal Medicine, Denver Health Medical Center, 660 Bannock St, M.C. 4000, Denver, CO 80204; e-mail: Julia.Alvarado@dhha.org



Chest. 2006;130(4):1248-1251. doi:10.1378/chest.130.4.1248
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A 48-year-old woman presented to the hospital with a 3-week history of dyspnea, chest pain, productive cough, and intermittent low-grade fevers. She denied weight loss, night sweats, or hemoptysis. She acknowledged recent IV heroine and cocaine use and a 12-pack-year history of cigarette smoking. Her only tuberculosis risk factor was a period of imprisonment 6 years prior to presentation.

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