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Postgraduate Education Corner: CHEST IMAGING AND PATHOLOGY FOR CLINICIANS |

A 40-Year-Old Woman With an Asymptomatic Cystic Lesion in Her Right Lung

Peggy S. Lai, MD; David W. Cohen, MD; Malcolm M. DeCamp, MD, FCCP; Sara Fazio, MD; David H. Roberts, MD, FCCP
Author and Funding Information

From the Division of Pulmonary, Critical Care, and Sleep Medicine (Drs. Lai and Roberts), Department of Pathology (Dr. Cohen), and the Divisions of Thoracic Surgery (Dr. DeCamp), and General Medicine and Primary Care (Dr. Fazio), Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.

Peggy S. Lai, MD, Beth Israel Deaconess Medical Center, Division of Pulmonary, Critical Care, and Sleep Medicine, KSB-23, 330 Brookline Ave, Boston, MA 02116; e-mail: pslai@bidmc.harvard.edu


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;136(2):622-627. doi:10.1378/chest.08-2902
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Extract

A 40-year-old woman presented to the pulmonary clinic with abnormal chest radiograph findings. She had longstanding primary Raynaud phenomenon, and 3 years prior to this presentation she had experienced transient, right knee inflammatory arthritis of unclear etiology. One month prior to the clinic visit, bilateral knee and wrist arthralgias developed with subjective fevers; the patient presented to her primary care doctor with these complaints. In retrospect, her 4-year-old son had experienced fevers and a rash, and had been subsequently diagnosed with Fifth disease. Her physician was concerned about sarcoidosis and obtained a chest radiograph. Based on these results, a chest CT scan was performed, and the patient was referred to the pulmonary clinic for further evaluation.

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