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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 76-Year-Old Man With Multiple Pulmonary Nodules

Isabelle Fabreguet, MD; Fady Francis, MD; Marie Lemery, MD; Laurence Choudat, MD; Thomas Papo, MD; Karim Sacre, MD, PhD
Author and Funding Information

*From the Department of Internal Medicine (Drs. Fabreguet, Papo, and Sacre), Department of Thoracic Surgery (Dr. Francis), and Department of Pathology (Drs. Lemery and Choudat), Hospital Bichat-Claude Bernard, Paris, France.

Correspondence to: Karim Sacre, MD, PhD, Department of Internal Medicine, Hôpital Bichat-Claude Bernard, 46 rue Henri Huchard, 75018, Paris, France; e-mail: karim.sacre@bch.aphp.fr


The authors have no conflicts of interest to disclose.

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(4):1094-1097. doi:10.1378/chest.08-2049
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Extract

A 76-year-old man was referred for multiple pulmonary nodules discovered on a routine chest radiograph (Fig 1). He denied fever, cough, dyspnea, night sweats, chest pain, or hemoptysis but had lost 8 kilograms in the past 6 months. The patient was a 15–pack-year tobacco smoker. He reported type 2 diabetes, hypertension, mild hypercholesterolemia, and had an ischemic stroke 5 years before. Treatment included gliclazide, atenolol, losartan, and clopidogrel. He lived in Algeria and denied any occupational exposure. Physical examination was normal.

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