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.

Rick Robbins, M.D. Rick Robbins, M.D.

March 2017 Pulmonary Case of the Month

Maxwell L. Smith, MD 

Department of Laboratory Medicine and Pathology

Mayo Clinic Arizona

Scottsdale, AZ USA

 

History of Present Illness

The patient is 52-year-old man who complained of dyspnea on exertion and a dry cough.

 

Past Medical History, Social History and Family History

He had a history of gastroesophageal reflux disease (GERD) and was taking a proton pump inhibitor.

He never smoked and had no known exposures.

Family history was noncontributory.

 

Physical Examination

Physical Examination was unremarkable.

 

Chest X-ray

A chest x-ray was reported as normal.

Which of the following are indicated? (Click on the correct answer to proceed to the second of five pages)

  1. Chest CT scan
  2. Endoscopy/bronchoscopy
  3. Pulmonary function testing
  4. 1 and 3
  5. All of the above 

Cite as: Smith ML. March 2017 pulmonary case of the month. Southwest J Pulm Crit Care. 2017;14(3):89-93. doi: https://doi.org/10.13175/swjpcc014-17 PDF

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Rick Robbins, M.D. Rick Robbins, M.D.

October 2015 Pulmonary Case of the Month: I've Heard of Katy Perry

Kathryn E. Williams, MB

Maxwell L. Smith, MD

Philip J. Lyng, MD

Laszlo T. Vaszar, MD

 

Department of Pulmonary Medicine

Mayo Clinic Arizona

Scottsdale, AZ

 

History of Present Illness

A 45-year-old man with a history of dyslipidemia and a family history of early coronary artery disease (CAD) underwent coronary artery calcium scoring CT. He was a non-smoker and asymptomatic.

Past Medical History

In addition to his hyperlipidemia he has a history of obesity and impaired fasting glucose.

Physical Examination

His physical examination was unremarkable.

Radiography

The thoracic CT was interpreted as a low risk for CAD but there were incidental findings (Figure 1).

Figure 1. Panels A-C: Representative views from the thoracic CT scan in lung windows. Lower panel: video of thoracic CT in lung windows.

What incidental finding is not shown on thoracic CT scan. (Click on the correct answer to proceed to the second of six panels).

  1. Honeycombing
  2. Multiple small pulmonary nodules
  3. Patchy ground glass opacities
  4. Slightly enlarged mediastinal lymph nodes

Cite as: Williams KE, Smith ML, Lyng PJ, Vaszar LT. October 2015 pulmonary case of the month: I've heard of Katy Perry. Southwest J Pulm Crit Care. 2015;11(4):126-35. doi: http://dx.doi.org/10.13175/swjpcc123-15 PDF

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