Left upper lobe mass and diffuse reticular-nodular infiltrate.

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

Chest

journal_title

Chest

authors

Jackson HD,Carney KJ,Knautz MA,Tenholder MF

doi

10.1378/chest.105.6.1864

subject

Has Abstract

pub_date

1994-06-01 00:00:00

pages

1864-5

issue

6

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)44107-8

journal_volume

105

pub_type

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