Unusual focal opacities in the lungs

An obese 74-year-old man with diabetes, hypertension, dyslipidemia, and mild systolic heart failure presented to the emergency department with a 2-week history of shortness of breath and orthopnea. This was associated with a constant cough that was productive with yellowish sputum as well as mild to...

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Bibliographic Details
Published in:Saudi medical journal 2019-12, Vol.40 (12), p.1299-1302
Main Authors: Alqurashi, Moayad M, Rajendram, Rajkumar
Format: Article
Language:English
Subjects:
Aged
Barium - adverse effects
Case reports
Contrast agents
Contrast Media - adverse effects
Dyspnea
Heart failure
Humans
Iatrogenesis
Lung - diagnostic imaging
Male
Medical diagnosis
Metabolic disorders
Tomography, X-Ray Computed
X-rays
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Summary:An obese 74-year-old man with diabetes, hypertension, dyslipidemia, and mild systolic heart failure presented to the emergency department with a 2-week history of shortness of breath and orthopnea. This was associated with a constant cough that was productive with yellowish sputum as well as mild to moderate, sharp, bilateral flank and back pain. However, he denied hemoptysis, chest pain, and dysuria. He was dependent on a wheelchair as a result of residual right-sided weakness following a stroke that occurred 2 years prior to this presentation. The stroke also resulted in intermittent difficulty in swallowing that manifests as occasional choking on both solids and liquids. The patient was not compliant with medications or fluid restriction for heart failure and he suffered a fall from the wheelchair a few days prior to his presentation.
ISSN:0379-5284
1658-3175
DOI:10.15537/smj.2019.12.24689