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Postgraduate Education Corner: CHEST IMAGING AND PATHOLOGY FOR CLINICIANS |

A 21-Year-Old Male With Dyspnea at Rest, Dry Cough, and Swelling of His Right Anterior Chest

Andrea G. Adams, MD; William Tester, MD; Ghulam Khaleeq, MD; Michael Walkenstein, MD, FCCP
Author and Funding Information

From the Department of Internal Medicine (Dr Adams), the Division of Hematology and Oncology (Dr Tester), and the Division of Pulmonary and Critical Care (Drs Khaleeq and Walkenstein), Albert Einstein Medical Center, Philadelphia, PA.

Correspondence to: Ghulam Khaleeq, MD, Associate Department of Pulmonary Disease and Critical Care Medicine, Geisinger Medical Center, Danville, PA 17822; e-mail: gkhaleeq1@geisinger.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestpubs.org/site/misc/reprints.xhtml).


© 2010 American College of Chest Physicians


Chest. 2010;137(3):729-734. doi:10.1378/chest.09-0127
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Extract

A 21-year-old, previously healthy, Hispanic male presented with complaints of resting dyspnea, fatigue, and a nonproductive cough. His shortness of breath was initially exertional but had progressed to resting dyspnea during the past month. The patient stated that he also experienced increasing fatigue. On questioning, he stated that during the past month he had noticed an enlarging area of firmness over his right anterior chest that was mildly tender to palpation. He denied fever, chills, sputum, or hemoptysis. In addition, he had not experienced weight loss, night sweats, or gastrointestinal symptoms. He did describe polyuria and was found to be hyperglycemic when he measured his glucose at home on his mother’s glucometer.

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