Multiple circumscribed pulmonary hematomas masquerading as metastatic carcinoma |
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| Authors: | R M Engelman A D Boyd M Blum M H Worth |
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| Affiliation: | From the Departments of Surgery and Medicine, New York University School of Medicine, New York, N.Y. |
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| Abstract: | A 23-year-old patient presented with multiple circumscribed pulmonary densities two months following a motorcycle accident. A history of mediastinal irradiation as an infant and a thyroid lobectomy for adenoma when a teenager reinforced an initial diagnostic impression of metastatic carcinoma. The clinical picture was further clouded by the obvious nonunion of a clavicular fracture, giving the impression of a metastatic deposit. Ultimately, when all other diagnostic studies had failed, an exploratory thoracotomy revealed multiple pulmonary hematomas which have since regressed. |
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| Keywords: | Address reprint requests to Dr. Engelman Department of Surgery New York University Medical Center 550 First Ave. New York N.Y. 10016 |
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