A 45-year-old Hispanic man with no significant medical history presented with 2 weeks of progressive dyspnea, left-sided chest pain, and nonproductive cough. He denied fever, night sweats, hemoptysis, or weight loss. The patient had no significant occupational or environmental exposures, including no known exposure to asbestos, and denied smoking or illicit drug use. He denied IV drug use, multiple sexual partners, and homosexuality.
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