Case 40382

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Abstract
Presentation of CaseA thirty-one-year-old man entered the hospital because of a shadow in the lung discovered on roentgenographic examination.Six years before admission the patient was told that an abnormality was found in a routine x-ray film of the chest, but nothing further was done about it. Four months before admission he was in an automobile accident and was cut in the right submandibular region by flying glass. Roentgenograms of the neck and chest were taken, and an abnormality was noted in the chest film.There was no history of hemoptysis, chills, fever, pneumonia, dyspnea, or cough, except for . . .

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