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A Man in His Early 70s With Progressive Dyspnea and Abnormal Fundoscopic ExaminationProgressive Dyspnea and Abnormal Fundoscopy

Sarah Bastawrous, DO; Jan V. Hirschmann, MD
Author and Funding Information

From the Department of Radiology (Dr Bastawrous) and Department of Medicine (Dr Hirschmann), VA Puget Sound Health Care System; and Department of Radiology (Dr Bastawrous) and Department of Medicine (Dr Hirschmann), UW Medicine, University of Washington, Seattle, WA.

Correspondence to: Sarah Bastawrous, DO, Department of Radiology, VA Puget Sound Health Care System, Mail Box 358280, S-114, 1660 S Columbian Way, Seattle WA 98108-1597; e-mail: ssheikh@u.washington.edu


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


Chest. 2014;145(1):178-181. doi:10.1378/chest.13-1277
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Extract

A black man in his early 70s complained of progressive dyspnea on exertion for 15 years. He had occasional cough productive of clear sputum, but no chest pain. He had a 60-pack-year smoking history and previous illicit drug use, including IV injection of heroin and methylphenidate, complicated by tricuspid valve endocarditis nearly 30 years ago. He had no significant travel or occupational history. He had no visual complaints. He did not drink alcohol and had no pets or exposure to birds. He had no known previous TB, and his tuberculin test was negative.

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