@MISC{Stern86pulmonarynodule, author = {Harold Stern and A Darryl Carter}, title = {Pulmonary Nodule in an Asymptomatic 64-Year-Old Woman}, year = {1986} }
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Abstract
The unexpected finding of a pulmonary nodule in an asymptomatic patient is a common clinical event. This paper examines the case of a 64-year-old woman who was discovered to have a small pulmonary nodule on routine examination. Differential diagnosis, modes of examination, and pathological findings are examined. CLINICAL PATHOLOGICAL CONFERENCE A 64-year-old woman was admitted to Yale-New Haven Hospital (Y-NHH) because of an abnormal chest X-ray. History One week prior to admission, the woman had been scheduled for surgical removal of a bunion at a nearby hospital. Admission chest films showed a 1.5 cm "coin " lesion in the right upper lobe. Surgery was postponed and the patient was admitted to Y-NHH for evaluation. The patient stated that she had been healthy all her life and had no recent complaints. She specifically denied cough, hemoptysis, sputum production, dyspnea, chest pain, fever, and weight loss. Review of systems was completely negative, and the patient took no medications.