March 2017 Pulmonary Case of the Month

Wednesday, March 1, 2017 at 8:01AM
Rick Robbins, M.D. in CT scan, GERD, aspiration, centrilobular, gastroesophageal reflux, granuloma, ground glass, histology, nodules, peribronchial

Maxwell L. Smith, MD 

Department of Laboratory Medicine and Pathology

Mayo Clinic Arizona

Scottsdale, AZ USA

 

History of Present Illness

The patient is 52-year-old man who complained of dyspnea on exertion and a dry cough.

 

Past Medical History, Social History and Family History

He had a history of gastroesophageal reflux disease (GERD) and was taking a proton pump inhibitor.

He never smoked and had no known exposures.

Family history was noncontributory.

 

Physical Examination

Physical Examination was unremarkable.

 

Chest X-ray

A chest x-ray was reported as normal.

Which of the following are indicated? (Click on the correct answer to proceed to the second of five pages)

1. Chest CT scan
2. Endoscopy/bronchoscopy
3. Pulmonary function testing
4. 1 and 3
5. All of the above 

Cite as: Smith ML. March 2017 pulmonary case of the month. Southwest J Pulm Crit Care. 2017;14(3):89-93. doi: https://doi.org/10.13175/swjpcc014-17 PDF

Article originally appeared on Southwest Journal of Pulmonary, Critical Care and Sleep (https://www.swjpcc.com/).