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Area of Science:

  • Pulmonology
  • Oncology

Background:

  • A 52-year-old female with a history of GERD, HTN, and SVT presented with progressive dyspnea.
  • Symptoms included a dry cough and diffuse bilateral infiltrates on imaging, unresponsive to initial treatments.

Observation:

  • CT imaging revealed bilateral linear, reticular, and nodular infiltrates.
  • Infectious workup was negative, prompting further investigation.

Findings:

  • Bronchoscopy confirmed lung adenocarcinoma via immunohistochemical staining.
  • A solitary 7-mm enhancing brain lesion was identified on MRI.

Implications:

  • This case highlights the diagnostic challenges of atypical pulmonary symptoms.
  • Early bronchoscopic evaluation is recommended for suspected malignancies, especially with family history.