0
Postgraduate Education Corner: CHEST IMAGING AND PATHOLOGY FOR CLINICIANS |

A 34-Year-Old Man Presenting With Gradual Onset of Shortness of Breath and Interstitial Lung Disease*

Ami N. Rubinowitz, MD; Marianne Moon, MD; Robert Homer, MD, PhD
Author and Funding Information

*From the Departments of Radiology (Drs. Rubinowitz and Moon) and Pathology (Dr. Homer), Yale University School of Medicine, New Haven, CT.

Correspondence to: Ami N. Rubinowitz, MD, Department of Radiology, Yale University School of Medicine, 333 Cedar St, PO Box 208042, New Haven, CT 06520; e-mail: ami.rubinowitz@yale.edu



Chest. 2008;133(4):1041-1047. doi:10.1378/chest.07-2235
Text Size: A A A
Published online

Extract

A 34-year-old white man with no history of respiratory ailments presents with gradual onset of shortness of breath and the feeling of being “winded” with vigorous walking. His dyspnea gradually progressed over the next several weeks to the point where climbing a single flight of stairs left him markedly short of breath.

He reports having previously been in good health, with the exception of dyslipidemia, a 17–pack-year history of smoking with cessation at age 29 years, gastroesophageal reflux disease, and prior appendectomy at age 26 years. The patient also complains of an intermittent, dry cough but no hemoptysis, fever, or chills. There is no history of muscle weakness, arthritis, or arthralgia, and no family history of lung disease or tuberculosis. He works as a computer programmer and project manager. There is no history of exposures to fumes, dusts, mold, silica, or asbestos, and he denies any drug use. He was initially evaluated by his primary care physician, who prescribed a short course of antibiotics for possible pneumonia, with no relief in symptoms, and was referred for ancillary testing as well as pulmonary consultation.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543