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Robert J. Cihak, MD

JAMA. 1970;212(12):2090-2091.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

DR. ALAN F. WHITE: This 62-year-old man first noticed fatigue, exertional dyspnea, and subcostal discomfort on the left side three weeks before admission to the hospital. Before this he had been in good health, without any respiratory disease or occupational exposure to dust. When seen by his physician one week after onset of symptoms, his fatigue and dyspnea were worse; he also had an ill-defined pain in the upper portion of the abdomen and a slight cough. On physical examination the lungs were clear and the abdomen normal. A roentgenogram of the chest was made (Fig 1).

During the two weeks preceding admission to the hospital, the cough became more frequent and was productive of clear, white sputum flecked with blood on one occasion. At the time of admission to the hospital, moist rales were present at both lung bases. A second roentgenogram of the chest was performed (Fig 2). . . . [Full Text PDF of this Article]

Author Affiliations
From the weekly X-ray Seminar, Department of Radiology, Massachusetts General Hospital, Boston.

Footnotes
Reprint requests to Massachusetts General Hospital, Boston 02114 (Dr. Laurence L. Robbins).

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