A worsening dyspnea.
نویسندگان
چکیده
A 52-year-old postmenopausal woman presented because of a progressive dyspnea, non-productive cough and right side chest pain that worsened with deep inspiration. She had a history of breast carcinoma 2 years earlier and subsequent left segmental mastectomy, axillary dissection, adjuvant chemotherapy and local radiotherapy (RT). One year later she underwent to a T-8 balloon vertebroplasty and local RT for symptomatic bone metastases. Afterward, her disease remained well controlled by treatment with trastuzumab and systemic chemotherapy. Physical examination revealed shortness of breath and bibasilar crackles on lung auscultation; otherwise, examination was unremarkable. A chest radiography (Figure 1A) showed mild bilateral reticulonodular interstitial infiltrates, T-8 ballon vertebroplasty (black arrows) and pathologic fracture of the right seventh rib (white arrow). A high-resolution computed tomography of the chest showed irregular, sometimes nodular thickening of the interlobar septa with prominent centrilobular structures. A transbronchial lung biopsy specimen revealed small foci of breast carcinoma
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عنوان ژورنال:
- QJM : monthly journal of the Association of Physicians
دوره 101 10 شماره
صفحات -
تاریخ انتشار 2008