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- Zein Kattih, Brian Birnbaum, Nader Gabra, Stephen Machnicki, Jordan M Steinberg, Todd Anderson, and Ann E Tilley.
- Department of Internal Medicine, Lenox Hills Hospital, New York, NY. Electronic address: zkattih@northwell.edu.
- Chest. 2021 Jul 1; 160 (1): e69-e75.
Case PresentationA 44-year-old man with hyperthyroidism and no smoking history presented to his internist with 5 months of intermittent cough and hemoptysis. The patient's family history was remarkable only for non-Hodgkin's lymphoma in his father. He had a history of a 25-day exposure to a home renovation at work 2 years prior to presentation. He was treated with oral clarithromycin with no improvement in his symptoms. A chest radiograph showed bilateral nodular opacities with a left lower lobar consolidative opacity (Fig 1A, 1B); the patient underwent CT scanning of the chest, which showed areas of nodular infiltration in the lower lobes with tree-in-bud-like opacities. He was referred to a pulmonologist.Copyright © 2021 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.
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