• Lisa Jarnagin, Archan Shah, and Ala-Eddin S Sagar.
• Department of Pulmonary and Critical Care, Banner University Medical Center, Phoenix, AZ.
• Chest. 2023 Feb 1; 163 (2): e79e82e79-e82.

AbstractAn 84-year-old woman presented to the interventional pulmonary clinic for evaluation of a right middle lobe lung mass. Her medical history was notable for atrial fibrillation on rivaroxaban and recurrent bilateral breast cancer that had required multiple lumpectomies, radiation, and chemotherapy. She is a former smoker of five-pack years. She underwent a right and left heart catheterization at an outside facility 2 months prior to her presentation for evaluation of dyspnea that showed minimal coronary artery disease but elevated pulmonary artery pressures of 55/24 mm Hg. The procedure itself was complicated by hemoptysis that required hospital admission for observation. She underwent a chest radiography during her hospitalization (Fig 1) There was no recent imaging for comparison. She was seen by a pulmonologist as an outpatient and underwent bronchoscopy with BAL and bronchial brushing for concerns of malignancy. The results were not diagnostic. She was then referred to the interventional pulmonary service for further evaluation.Copyright © 2022 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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