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Postgraduate Education Corner: CHEST IMAGING AND PATHOLOGY FOR CLINICIANS |

Dyspnea in a Transplant Recipient With Pulmonary Nodules

Wen Yee Chay, MD; Alvin Penafiel, MD; Jagadesan Raghuram, MD; Khoon Leong Chuah, MD; Chian Min Loo, MD, FCCP; Pyng Lee, MD, FCCP
Author and Funding Information

*From the Departments of Respiratory and Critical Care Medicine (Drs. Chay, Penafiel, Loo, and Lee), and Pathology (Dr. Chuah), Singapore General Hospital, Singapore; and the Division of Respiratory Medicine (Dr. Raghuram), Changi General Hospital, Singapore.

Correspondence to: Pyng Lee, MD, FCCP, Department of Respiratory and Critical Care Medicine, Singapore General Hospital, Outram Rd, Singapore 169608; e-mail: lee.pyng@sgh.com.sg


The authors have reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

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


Chest. 2009;135(3):860-865. doi:10.1378/chest.08-0857
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Extract

A 46-year-old woman who was a nonsmoker presented to the respiratory clinic with productive cough and exertional dyspnea. She had previously received a single renal transplantation 10 years before for treatment of IgA nephropathy, and was maintained on a regimen azathioprine, cyclosporin, and prednisolone. She did not complain of hemoptysis, fever, or weight loss, and there was no history of asthma or heart disease.

On examination, the patient was afebrile and not in respiratory distress. There was no clubbing or cervical lymphadenopathy, and auscultation of her chest revealed diffuse biphasic wheeze. Other than a scar in the right iliac fossa where the kidney had been transplanted, the rest of her clinical examination was unremarkable.

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