Case 39051

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Abstract
Presentation of CaseA seventy-six-year-old man was referred to the hospital for study.Three months before entry the patient noted gradually increasing shortness of breath, first recognized when he was unable to swim as far as previously. This symptom became more marked until during the month before admission he was unable to walk one city block without becoming "winded." During the three months he also had a slightly productive, annoying cough, aggravated six weeks before admission by a cold. At first it felt like a "tickle" in the throat; later it became productive of small amounts of yellowish sputum. On . . .