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Pulmonary, Critical Care, and Sleep Pearls |

A 26-Year-Old Man With a Slowly Growing Heterogeneous Intrathoracic MassMan With Heterogeneous Intrathoracic Mass

Julianne Nichols, DO; Natalie Berger, MD; Vanessa Yap, MD; Daniel Fusco, MD; Debapriya Datta, MD, FCCP
Author and Funding Information

From the Division of Internal Medicine (Drs Nichols and Berger), the Division of Pulmonary and Critical Care Medicine (Drs Yap and Datta), and the Department of Cardiothoracic Surgery (Dr Fusco), University of Connecticut Health Center, Farmington, CT.

Correspondence to: Debapriya Datta, MD, FCCP, Pulmonary and Critical Care Medicine, University of CT Health Center, 263 Farmington Ave, Farmington, CT 06030; e-mail: ddatta@uchc.edu


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):e19-e23. doi:10.1378/chest.13-2471
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Extract

A 26-year-old man presented with complaints of left-sided chest pain and shortness of breath with moderate exertion, of 6 month duration. The patient had a history of asthma but reported that the exertional shortness of breath was not like his typical asthma symptoms and was not associated with wheezing. The left-sided chest pain was a dull and constant ache, without any aggravating or relieving factors. The patient denied fever, chills, night sweats, cough, or weight loss. Past medical history was significant for asthma since childhood, which was well controlled on budesonide inhaler. He had received a gunshot wound 1½ years earlier and had abdominal surgery at that time “to stop the bleeding,” but records of the procedure were not accessible.

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