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.
October 2017 Pulmonary Case of the Month
Eric A. Jensen, MD
Department of Radiology
Mayo Clinic Arizona
Scottsdale, AZ USA
History of Present Illness
A 56-year-old woman presented with 3 days of non-productive cough, low-grade fever and severe right-sided pleuritic chest pain.
Past Medical History, Social History and Family History
She was diagnosed with coccidioidomycosis 5 years previously. She reports that she has had pneumonia every 6 to 12 months since her diagnosis with valley fever. She does not smoke. Family history is noncontributory.
Physical Examination
Her vital signs were unremarkable and she was afebrile but did cough frequently during the examination. Her lungs were clear and the rest of the physical examination was unremarkable.
Chest Radiography
She brings in two prior chest x-rays, one from 2011 (Figure 1, Panels A & B) and another from 2012 (Figure 1, Panel C).
Figure 1. Chest radiograph from 2011 (A & B) and from 2012 (C).
Which of the following best describes the chest x-rays? (Click on the correct answer to proceed to the second of five pages)
- A repeat chest x-ray should be performed
- A right lower lobe mass is present which appears to have enlarged from 2011 to 2012
- There is a right lower posterior lung density
- 1 and 3
- All of the above
Cite as: Jensen EA. October 2017 pulmonary case of the month. Southwest J Pulm Crit Care. 2017;15(4):125-30. doi: https://doi.org/10.13175/swjpcc115-17 PDF