Case 48-1992: An 82-Year-Old Man with Pulmonary Densities and a Mass in the Left Upper Abdominal Quadrant


Presentation of Case An 82-year-old man was admitted to the hospital because of abdominal pain, nausea, and vomiting. There was a history of a right pulmonary parahilar radiologic density interpreted as atelectasis in the superior segment of the right lower lobe and discovered 3 1/2 years earlier (Fig. 1), when the patient was admitted for treatment of pneumonia. A test for human immunodeficiency virus antibodies was negative. One year before admission the patient was readmitted to the hospital because of pneumonia and recovered. Seven months before entry the patient returned to the hospital because of a dry cough and dyspnea… © 1992, Massachusetts Medical Society. All rights reserved.

Publication Title

New England Journal of Medicine