Pulmonary
The Southwest Journal of Pulmonary and Critical Care publishes articles broadly related to pulmonary medicine including thoracic surgery, transplantation, airways disease, pediatric pulmonology, anesthesiolgy, pharmacology, nursing and more. Manuscripts may be either basic or clinical original investigations or review articles. Potential authors of review articles are encouraged to contact the editors before submission, however, unsolicited review articles will be considered.
December 2022 Pulmonary Case of the Month: New Therapy for Mediastinal Disease
Mayo Clinic Arizona
Scottsdale, AZ USA
History of Present Illness
A 43-year-old woman complained of persistent cough over 1 year with mild increasing dyspnea on exertion. She denied fever, sweats or weight loss. She had noted fatigue and dry cough, as well as shortness of breath, particularly when supine.
Past Medical History (PMH), Social History (SH), Family History (FH)
- An outside bronchoscopy done in 2019 with washings and biopsy showing only some non-specific inflammation
- Life-long nonsmoker
- Not on any chronic medications
- Had only lived in Arizona, although has travelled in other states
- There is no significant family history
Physical Examination
- Prominent vascularity on anterior chest
What should be done at this time? (Click on the correct answer to be directed to the 2nd of 6 pages)
- Chest X-ray
- Obtain old x-rays
- Pulmonary function testing
- Serology for coccidioidomycosis
- All of the above
December 2017 Pulmonary Case of the Month
Lewis J. Wesselius, MD1
Michael B. Gotway, MD2
Departments of 1Pulmonary Medicine and 2Radiology
Mayo Clinic Arizona
Scottsdale, AZ USA
History of Present Illness
A 52-year-old woman from Iowa sought a second opinion for a left hilar mass. She travels to Phoenix regularly to visit family. She began feeling ill in late 2016 with cough and sputum production and was treated with multiple courses of antibiotics without improvement.
PMH, SH and FH
Past medical history is unremarkable. She is a nonsmoker. FH is noncontributory.
Physical Examination
Physical examination was normal.
Radiography
In March of this year she had chest radiograph in Phoenix which suggested left hilar adenopathy. A thoracic CT scan was performed (Figure 1).
Figure 1. Representative images from the thoracic CT scan in lung windows (A-E) and soft tissue windows (F).
Which of the following are diagnostic considerations? (Click on the correct answer to procced to the second of seven pages)
Cite as: Wesselius LJ, Gotway MB. December 2017 pulmonary case of the month. Southwest J Pulm Crit Care. 2017;15(6):232-40. doi: https://doi.org/10.13175/swjpcc144-17 PDF