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A 65-Year-Old Man With Persistent Cough and Large Nodular OpacityPersistent Cough and Large Nodular Opacity

Brandon S. Grimes, MD; Jeffrey Albores, MD; Igor Barjaktarevic, MD
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From the Department of Pulmonary and Critical Care Medicine, University of California Los Angeles Medical Center, Los Angeles, CA.

CORRESPONDENCE TO: Brandon S. Grimes, MD, UCLA Medical Center, Pulmonary and Critical Care Medicine, 37-131 CHS 10833 Le Conte Ave, Los Angeles, CA 90095; e-mail: BGrimes@mednet.ucla.edu


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):e13-e17. doi:10.1378/chest.14-1172
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A 65-year-old Asian man with a history of chronic hepatitis B infection presented to our pulmonary clinic for second opinion of his chronic, persistent, nonproductive cough. He was evaluated 10 months earlier with chest CT scan, which revealed a large lingular nodular opacity that was diagnosed as nodular cryptogenic organizing pneumonia by CT scan-guided percutaneous lung biopsy. Systemic corticosteroids were initiated and continued over the next 10 months. The dry cough persisted, and he developed intermittent left-sided pleuritic chest pain. He denied fevers, night sweats, hemoptysis, weight loss, or dyspnea. He was a lifelong nonsmoker and moved to the United States from China during childhood.

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