Case 14-1983

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Abstract
Presentation of CaseA 67-year-old woman was admitted to the hospital because of syncope on effort.There was a four-year history of Raynaud's phenomenon, for which bilateral dorsal sympathectomies were performed two years before admission. A preoperative electrocardiogram showed a normal rhythm at a rate of 65 per minute and was within normal limits aside from first-degree atrioventricular block (0.24 second). X-ray films of the chest revealed that the heart was not enlarged; several calcified granulomas were seen in the right-upper-lung field, and a single one was visible in the left-upper-lung field; calcifications were observed in the hilar regions, and . . .