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Postgraduate Education Corner: CASE RECORDS OF THE UNIVERSITY OF COLORADO |

A 31-Year-Old Woman With Hemoptysis and an Intrathoracic Mass

Madison Macht, MD; John D. Mitchell, MD, FCCP; Carlyne Cool, MD; David A. Lynch, MD; Ashok Babu, MD; Marvin I. Schwarz, MD, FCCP
Author and Funding Information

From the Department of Medicine, Division of Pulmonary Sciences and Critical Care Medicine (Drs Macht and Schwarz), the Department of Surgery (Drs Mitchell and Babu), the Division of Pathology (Dr Cool), University of Colorado at Denver; and the Department of Radiologic Sciences (Dr. Lynch), National Jewish Hospital, Denver, CO.

Correspondence to: Madison Macht, MD, Department of Medicine, Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado at Denver, Anschutz Medical Campus, Research 2, Box C272, 9th Floor 12700 E 19th Ave, Aurora, CO 80045; e-mail: madison.macht@ucdenver.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;138(1):213-219. doi:10.1378/chest.10-0173
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Extract

A 31-year-old woman presented with 3 months of hemoptysis (one-half cup daily), left chest pain, and intermittent expectoration. The sputum was described as having a “cheeselike” appearance, occurring every 5 to 6 days. She reported mild shortness of breath for 2 months but no weight loss, night sweats, or fevers. Her chest pain was episodic in nature and occasionally pleuritic. She denied nausea, vomiting, rashes, or joint pain. Her menses were regular and of normal quantity. Six years prior, she presented to another institution with an acute onset of hemoptysis and underwent left internal mammary arterial embolization. A diagnosis was not established, and she was lost to follow-up. The hemoptysis had subsided following the embolization but now returned.

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