WSI24-127: Topic

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Request type Study
Subspecialty Academic
Set [[]]
Topic Topic
Presenter Mino-Kenudson, Mari,MD
Date and time Sunday, June 22, 2025 3:00 PM


Toggle columns: Diagnosis

CaseClinical historyRequester
CaseClinical historyRequester

Case 1


A 70-year-old woman with a lung nodule in the left lower lobe. Kx601

Case 2


A 65-year old man with persistent fever dyspnea persistent cough and hemolysis was referred to the multidisciplinary board for interstitial lung diseases. Previous transbronchial biopsies and radiology at a referring center rendered a tentative diagnosis of hypersensitivity pneumonitis. However based on the unusual clinical course with persistent fever of unknown origin (> 2 months) and low lymphocyte count on BAL a VATS thoracic biopsy was performed. Kx601

Case 3


A 40-year-old male never-smoker presented with a 1 year history of progressive dyspnea on exertion and dry cough for six months occasional wheezing and chronic fatigue. The patient is an engineer working as project manager but reported a history of exposure to engine exhaust benzene and carbon black in the 90’s. His medical history included ocular migraines and intermittent “hives with stress”. Pulmonary function tests showed an FEV1/FVC of 48% FEV1 29% and DLCO 44%. Alpha-1 antitrypsin levels were found normal several times. ANA and RF were negative. IgG levels were low 595. Kx601

Case 4


A woman in her 60s with history of heavy smoking (> 40 pack/years) presented with a slowly growing right lower lobe nodule that was found by a low-dose CT screening program. Kx601

Case 5


A 52-year-old female never smoker was incidentally found to have a 10mm well-circumscribed nodule in the superior segment of the left lung lower lobe by CT scan. The lesion was not amenable to biopsy and the patient underwent a surgical wedge resection. Kx601
Showing 1 to 5 of 5 entries