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Postgraduate Education Corner: Pulmonary and Critical Care Pearls |

A 33-Year-Old Man With Chest Pain, Left Upper Lobe Mass, Pulmonary Nodules, and Bilateral Bullae33-Year-Old Man With Chest Pain

Subhraleena Das, MD; Sujith V. Cherian, MD; Nabamita Das, MD; Ehtesham Ul Haq, MD; Wasim A. Hamarneh, MD; Robert Lenox, MD, FCCP; Ioana G. Amzuta, MD, FCCP
Author and Funding Information

From the Department of Medicine (Drs S. Das, Cherian, Ul Haq, and Hamarneh); and the Department of Pulmonary and Critical Care (Drs N. Das, Lenox, and Amzuta), State University of New York Upstate Medical University, Syracuse, NY.

Correspondence to: Subhraleena Das, MD, State University of New York Upstate Medical University, 750 E Adams St, Syracuse, NY 13210; e-mail: dass@upstate.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2012;142(4):1058-1062. doi:10.1378/chest.12-0011
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Extract

A 33-year-old man was referred to our institution for evaluation of multiple pulmonary nodules. The patient had been in his usual state of health until a week prior to admission, when he presented to an outside hospital with complaints of right-sided chest pain. An initial chest radiograph revealed multiple pulmonary nodules, and a CT scan of the chest confirmed the nodules. The CT scan of the chest also demonstrated a left upper lobe mass. The patient was referred to our institution. A review of systems revealed only the presence of right-sided chest pain for 1 week. The patient had no significant medical history. He had a 15-pack-year smoking history. He denied any travel history or contact with sick people or pets. His family history was significant for lung cancer and breast cancer in his paternal grandmother.

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