Abstract:
:We encountered a clinical problem in a young man who presented with a left upper lobe mass and a diffuse reticular-nodular infiltrate. We thought we had appropriately applied Murphy's Law (the famed bank robber who "went where the money is"), and Ockham's Razor (the philosopher William of Ockham [1285 to 1349]-"Entities are not to be multiplied beyond necessity") as we rapidly diagnosed the lung mass with computed tomography, scintigraphy, and fine-needle aspiration. However, when his invaluable previous chest radiographs arrived, bronchoscopy with transbronchial biopsy, bronchoalveolar lavage, brushings, and postbronchoscopy sputum revealed the more ominous diagnosis in this patient. This case illustrates the complementary nature of current imaging and bronchoscopy techniques; but, even more importantly, it demonstrates the value of the history coupled with the previous radiograph. Even an unusual case can provide lessons in cost containment.
journal_name
Chestjournal_title
Chestauthors
Jackson HD,Carney KJ,Knautz MA,Tenholder MFdoi
10.1378/chest.105.6.1864subject
Has Abstractpub_date
1994-06-01 00:00:00pages
1864-5issue
6eissn
0012-3692issn
1931-3543pii
S0012-3692(15)44107-8journal_volume
105pub_type
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