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BMJ Case Rep. 2009;2009. pii: bcr09.2008.0999. doi: 10.1136/bcr.09.2008.0999. Epub 2009 May 11.

A pleural mass with pulmonary infiltrates.

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Gordon & Leslie Diamond Health Care Centre, Respiratory Medicine, 2775 Laurel Street, Vancouver, V5Z 1M9, Canada.


This case study describes a 34-year-old woman presenting with a subacute history of dyspnoea associated with pleural based masses and pulmonary infiltrates. A computed tomography guided biopsy confirmed the presence of a pleural based thymoma, and a video assisted thoracoscopic lung biopsy revealed the pulmonary infiltrates to be a lymphocytic interstitial pneumonitis (LIP). The thymomas responded successfully to chemotherapy and the LIP improved following corticosteroid therapy.

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