Case 37351

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Abstract
Presentation of CaseA fifty-year-old woman entered the hospital for evaluation of an abnormal shadow discovered in a routine x-ray film of the chest one week previously.For about sixteen years before admission the patient had complained of postnasal discharge and productive morning cough and had treated herself with oily nose drops. She had frequent upper-respiratory infections and several times each winter would take to her bed with cough and fever diagnosed as "chronic bronchitis." Nine years, five years and five months before admission she was hospitalized because of attacks of right-sided "lobar pneumonia," which responded to chemotherapy and antibiotics. . . .

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