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Chest. 2018 Aug;154(2):e49-e53. doi: 10.1016/j.chest.2017.12.012.

A 67-Year-Old Woman With a "Shrunken" Left Lung and Recurrent Pneumonia.

Author information

1
Section of Interventional Pulmonology, Division of Pulmonary, Allergy, and Critical Care, University of Pennsylvania, Philadelphia, PA. Electronic address: david.dibardino@uphs.upenn.edu.
2
Section of Pulmonary, Critical Care, and Sleep Medicine, Yale University School of Medicine, New Haven, CT.
3
Section of Interventional Pulmonology, Division of Pulmonary, Allergy, and Critical Care, University of Pennsylvania, Philadelphia, PA.

Abstract

A 67-year-old woman was referred to our institution for nonresolving pneumonia and abnormal chest images. She was in her usual state of health until 1 month prior to referral when she started having fever, chills, dry cough, and chest pain. She presented initially to an urgent care facility that diagnosed her with bilateral pneumonia and left-sided volume loss on chest radiography. She was given azithromycin, but her fever did not resolve in the weeks following the antibiotic course. Previous to these symptoms she was able to play tennis and worked full time as the director of a charter school.

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