• Sandra Li Yan Hui, Salahudeen Mohamed Haja Mohideen, Xin Min Cheng, and Si Yuan Chew.
• Department of Respiratory and Critical Care Medicine, Changi General Hospital, Singapore. Electronic address: sandrahuiliyan@gmail.com.
• Chest. 2021 Feb 1; 159 (2): e119-e126.

Case PresentationA 72-year-old Chinese man presented with a 5-month history of chronic dry cough, weight loss, and progressive dyspnea. There was no associated hemoptysis, hoarseness, epistaxis, or fever on systemic review. He was a nonsmoker and had no family history of malignancy. He was treated for pulmonary TB 40 years ago. A chest radiograph (Fig 1) showed mass-like consolidation in the right midzone with loss of the right hilar border, a small right pleural effusion, and bi-apical scarring. On physical examination, he was afebrile and normotensive, and he had pulse oxygen saturation of 97%. Examination of the chest was remarkable only for reduced breath sounds over the right chest. He did not have digital clubbing, distended neck veins, or cervical lymphadenopathy.Copyright © 2020 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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