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Diffuse unresolving pulmonary nodules in a patient with a history of cervical carcinoma
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Diffuse unresolving pulmonary nodules in a patient with a history of cervical carcinoma
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Diffuse unresolving pulmonary nodules in a patient with a history of cervical carcinoma
Diffuse unresolving pulmonary nodules in a patient with a history of cervical carcinoma
Journal Article

Diffuse unresolving pulmonary nodules in a patient with a history of cervical carcinoma

2015
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Overview
Correspondence to Dr Talal Hilal, talal.hilal@uky.edu Description A 33-year-old woman with a history of cervical carcinoma status post total abdominal hysterectomy and bilateral slapingo-oopherectomy in 2006 presented to the emergency department with acute-onset, sharp, pleuritic chest pain associated with shortness of breath and fever up to 39.9°C. Physical examination revealed a patient in severe respiratory distress with a rate of 54 breaths/min, heart rate of 154 bpm and blood pressure of 104/64 mm Hg. The clinical picture coupled with the presence of diffuse pulmonary nodules was consistent with a diagnosis of septic pulmonary emboli (SPE) from MRSA seeding the IVC clot. To determine definitively the nature of these nodules, a transthoracic biopsy was undertaken, which showed alveolar lung parenchyma with abundant acute and chronic inflammation, and areas of consolidation and necrosis consistent with focal necrotising pneumonia.