0
ONLINE EXCLUSIVES
Ultrasound Corner |

A 75-Year-Old Woman With Fever and a Right Upper Lobe Pulmonary MassWoman With Fever and Right Upper Lobe Mass

Jose L. Cardenas-Garcia, MD; Anup K. Singh, MD; Seth J. Koenig, MD, FCCP
Author and Funding Information

From the Division of Pulmonary, Critical Care, and Sleep Medicine, Hofstra North Shore-LIJ School of Medicine, New Hyde Park, NY.

CORRESPONDENCE TO: Jose L. Cardenas-Garcia, MD, 410 Lakeville Rd, Ste 107, New Hyde Park, NY 11042; e-mail: jdecardenasg@gmail.com


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


Chest. 2015;147(1):e1-e4. doi:10.1378/chest.14-1161
Text Size: A A A
Published online

Extract

A 75-year-old woman presented to the ED complaining of dyspnea, fever, and a productive cough for 1 week. A recent diagnosis was made of a poorly differentiated squamous cell lung cancer of the right upper lobe with a large endotracheal lesion. On physical examination in the ED, her vital signs were as follows: BP, 112/72 mm Hg; heart rate, 78 beats/min; temperature, 39.1°C; and oxygen saturation, 94% on room air. She appeared cachectic, with good dentition, and in mild respiratory distress. Auscultation revealed coarse rhonchi on the right anterior and posterior upper chest. Initial laboratory results were only significant for leukocytosis (15,400 cells/μL), with 93% of neutrophils; her basic metabolic and liver function panels were unremarkable. The initial chest radiograph was read as “unchanged right upper lung mass.”

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

Case Patient Video 1

Ultrasound Examination

Running Time: 2:00

Discussion Video 2

Discussion Video

Running Time: 6:49

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543