April 2013 pulmonary case of the month: a suffocating relationship

Abstract

No abstract available. Article truncated at 150 words. History of Present IllnessA 70 year old woman from Oregon was referred by urology for evaluation of an abnormal thoracic CT scan. She was asymptomatic. PMH, SH, FHShe has a prior history of retroperitoneal fibrosis with ureteral obstructions requiring stents and a transient ischemic attack in 2009. During 2012 she developed hypertension and a thoracic CT was done. She has never smoked and is a widowed housewife. There is no family history of lung disease, although her husband died from lung cancer. Her present medications include: amlodipine 10 mg/day, oxybutynin (Ditropan XL) 10 mg/day, and prednisone 5 mg daily. Physical ExaminationHer physical examination was unremarkable. RadiographyHer chest CT scan is shown in Figure 1. Figure 1. Representative thoracic CT static images from mediastinal windows (panels A-C) and lung windows (panel D-F).Which of the following is true regarding the CT scan?1.There is a right