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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 48-Year-Old Woman With Skin Lesions, Renal Masses, and Spontaneous Pneumothorax*

Ravi Kalhan, MD; Anjana V. Yeldandi, MD; Manu Jain, MD, FCCP
Author and Funding Information

*From the Division of Pulmonary and Critical Care Medicine (Drs. Kalhan and Jain) and the Department of Pathology (Dr. Yeldandi), Northwestern University Feinberg School of Medicine, Chicago, IL.

Correspondence to: Ravi Kalhan, MD, Division of Pulmonary/Critical Care, 240 E Huron, McGaw M-300, Chicago, IL 60611; e-mail: r-kalhan@northwestern.edu



Chest. 2007;131(2):624-627. doi:10.1378/chest.06-0559
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Extract

A 48-year-old woman with a distant smoking history presented to the emergency department with progressive breathlessness and cough. Initially, her dyspnea occurred while she lay on her right side, but it progressed over 1 week until she was unable to speak full sentences. In the emergency department, a chest CT scan revealed a large right-sided pneumothorax, which resolved with a small-bore chest tube. The patient gradually returned to normal activities and presented to the pulmonary clinic for further evaluation.

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