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Chest Imaging and Pathology for Clinicians |

A 70-Year-Old Woman With Dyspnea and Chest PainOlder Woman With Dyspnea and Chest Pain

Aarthi Ganesh, MD; Michael Flores, MD; Isabel Oliva, MD; Gordon E. Carr, MD
Author and Funding Information

From the Departments of Pulmonary and Critical Care (Drs Ganesh and Carr), Pathology (Dr Flores) and Radiology (Dr Oliva), University of Arizona, Tucson, AZ.

Correspondence to: Aarthi Ganesh, MD, Department of Pulmonary and Critical Care, University of Arizona, 1501 N Campbell Ave, Tucson, AZ 85721; e-mail: ganesh_rti@yahoo.com


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


Chest. 2014;146(1):e14-e18. doi:10.1378/chest.13-1871
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Extract

A 70-year-old white woman presented to the hospital for evaluation of shortness of breath and chest pain. Her dyspnea began 10 months ago and progressively worsened in the last 2 months. In the 48 h prior to admission, she also had right-sided pleuritic chest pain. She complained of cough with clear sputum for approximately 1 month, but denied hemoptysis, voice changes, or dysphagia. She reported weight loss of 15 pounds over the prior 3 months, as well as fatigue and occasional night sweats. She denied fever or chills. She smoked one pack of cigarettes a day for 15 years, until she quit smoking 30 years ago. She consumed two to three glasses of wine daily, until she quit 6 months ago. Her past medical history was significant only for hypertension. She had worked as a nurse, but denied any occupational exposures to animals, fumes, metals, or dusts.

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