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Postgraduate Education Corner: Chest Imaging and Pathology for Clinicians |

A 79-Year-Old Woman With Bilateral Cavitating Lung NodulesCavitating Lung Nodules in an Elderly Woman

Karan Madan, MD, DM; Suvendu Purkait, MD; Sudheer Arava, MD; Ashu S. Bhalla, MD; Rakesh Kumar, MD; Randeep Guleria, MD, DM
Author and Funding Information

From the Department of Pulmonary Medicine and Sleep Disorders (Drs Madan and Guleria), Department of Pathology (Drs Purkait and Arava), Department of Radiodiagnosis (Dr Bhalla), and Department of Nuclear Medicine (Dr Kumar), All India Institute of Medical Sciences, New Delhi, India.

Correspondence to: Karan Madan, MD, DM, FCCP, Department of Pulmonary Medicine and Sleep Disorders, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India 110029; e-mail: drkaranmadan@gmail.com


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


Chest. 2014;145(6):1419-1424. doi:10.1378/chest.13-2081
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Extract

A 79-year-old woman presented with history of cough, shortness of breath, and fever of 3 months’ duration. Cough was associated with scant amount of mucoid expectoration, and fever was low grade in intensity. Shortness of breath was insidious in onset and had gradually progressed over 3 months. The patient, however, was able to carry out normal activities without any significant symptoms. There was no history of hemoptysis, chest pain, wheezing, joint pain, weight loss, skin rash, Raynaud phenomenon, epistaxis, nasal discharge, hematuria, or photosensitivity. There were no other urinary, abdominal, or neurologic complaints. Past and personal history was unremarkable. The patient was a homemaker and a lifetime nonsmoker. There were no other addictions, occupational exposure, or history of travel. The patient had been treated with broad-spectrum antibiotics and antitussives on an outpatient basis with no symptomatic improvement.

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