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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 79-Year-Old Woman With a Right Paratracheal Mass

Mario Gomez, MD; Nichole T. Tanner, MD; Rosemary A. Recavarren, MD; James Ravenel, MD; Gerard A. Silvestri, MD, FCCP
Author and Funding Information

*From the Departments of Pulmonary Medicine (Drs. Gomez, Tanner, and Silvestri), Pathology (Dr. Recavarren), and Radiology (Dr. Ravenel), Medical University of South Carolina, Charleston, SC.

Correspondence to: Mario Gomez, MD, Medical University of South Carolina, Division of Pulmonary, Critical Care, Allergy and Sleep Medicine, 96 Jonathan Lucas St, Suite 812-CSB, Charleston, SC 29425; e-mail: gomezm@musc.edu


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/site/misc/reprints.xhtml).


© 2009 American College of Chest Physicians


Chest. 2009;135(5):1384-1388. doi:10.1378/chest.08-2228
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Extract

A 79-year-old woman was referred to the pulmonary clinic for evaluation of a right paratracheal mass identified on a chest radiograph obtained for cancer monitoring. She was a never-smoker who had been treated 15 years before for early-stage breast cancer without lymph node involvement with a right mastectomy. She had not received radiation therapy or chemotherapy postoperatively; however, she did receive tamoxifen for 5 years. On review, the patient was without shortness of breath, cough, hemoptysis, fever, or weight loss. She denied recent pneumonia, chest trauma, or exposure to asbestos, tuberculosis, or birds. A tuberculin skin test result had been negative 5 years before. Although she previously had lived in North Carolina and had moved to South Carolina 2 months ago, she had no other travel history.

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