Friday
Mar012024
March 2024 Pulmonary Case of the Month: A Nodule of a Different Color
Friday, March 1, 2024 at 7:56AM
By: Wesselius LJ
Abstract:
No abstract available. Article truncated after 150 words.
History of Present Illness
The patient is a 73-year-old woman from Wisconsin seen in January 2024 for lung nodules. She had been followed by her physician in Wisconsin for lung nodules but had never had a biopsy or specific diagnosis. She reported that the nodules “waxed and waned.” Her Wisconsin physician suggested she be evaluated in Arizona.
She has occasional cough attributed to paroxysmal nocturnal dyspnea, but denies sputum production, fever, chills or shortness of breath
Past Medical History, Family History and Social History
- Rheumatoid arthritis diagnosed in her 30s, although not currently on any treatment.
- Breast cancer 2006, treated with chemoradiation
- Osteoporosis
- Family history: negative for lung cancer or other lung disorders
- Social History: Lifelong nonsmoker
Medications
- None
Physical Examination
- Unremarkable
Laboratory
- Normal CBC
- Cocci serology: negative
- Rheumatoid factor: elevated 61 U/ml (normal < 15)
- Anti-cyclic citrullinated peptide antibody: negative
- Erythrocyte Sedimentation Rate: normal
Radiology
A thoracic CT of …
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