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Answer Found in a Blowing Sound: Amphoric Breathing Due to Cyst Formation in Pulmonary Adenocarcinoma

A 51-year-old woman presented with dyspnea that had progressed over the previous year. On a physical examination, harsh, hollow breath sounds with a high-pitched timbre, termed "amphoric breathing", were identified during inspiration and expiration. Chest radiography and thoracic computed...

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Published in:	Internal Medicine 2019/02/01, Vol.58(3), pp.423-425
Main Authors:	Saraya, Takeshi, Fujiwara, Masachika, Mikura, Sunao, Fukuda, Nozomi, Ishii, Haruyuki, Takizawa, Hajime
Format:	Article
Language:	English
Subjects:	Acoustics Adenocarcinoma Adenocarcinoma of Lung - complications Adenocarcinoma of Lung - diagnostic imaging air trapping amphoric breathing auscultation breath sounds Breathing Case Report Computed tomography cyst Cysts Cysts - complications Cysts - diagnostic imaging Cysts - etiology Dyspnea Dyspnea - etiology Exhalation Female Humans Inhalation Internal medicine Lung Diseases - complications Lung Diseases - diagnostic imaging Lung Diseases - etiology Lung Neoplasms - complications Lung Neoplasms - diagnostic imaging Lungs Middle Aged pulmonary adenocarcinoma Radiography Respiration Respiratory Sounds - etiology Thorax Tomography, X-Ray Computed
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container_title	Internal Medicine
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creator	Saraya, Takeshi Fujiwara, Masachika Mikura, Sunao Fukuda, Nozomi Ishii, Haruyuki Takizawa, Hajime
description	A 51-year-old woman presented with dyspnea that had progressed over the previous year. On a physical examination, harsh, hollow breath sounds with a high-pitched timbre, termed "amphoric breathing", were identified during inspiration and expiration. Chest radiography and thoracic computed tomography performed over the previous three years revealed an enlarging cyst in the right lung arising from an area of consolidation. Pulmonary adenocarcinoma (T4 N0 M1a, stage IV) was diagnosed and considered a possible cause of the cyst, resulting in amphoric breathing.
doi_str_mv	10.2169/internalmedicine.0623-17
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On a physical examination, harsh, hollow breath sounds with a high-pitched timbre, termed "amphoric breathing", were identified during inspiration and expiration. Chest radiography and thoracic computed tomography performed over the previous three years revealed an enlarging cyst in the right lung arising from an area of consolidation. Pulmonary adenocarcinoma (T4 N0 M1a, stage IV) was diagnosed and considered a possible cause of the cyst, resulting in amphoric breathing.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.0623-17</identifier><identifier>PMID: 30713289</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Acoustics ; Adenocarcinoma ; Adenocarcinoma of Lung - complications ; Adenocarcinoma of Lung - diagnostic imaging ; air trapping ; amphoric breathing ; auscultation ; breath sounds ; Breathing ; Case Report ; Computed tomography ; cyst ; Cysts ; Cysts - complications ; Cysts - diagnostic imaging ; Cysts - etiology ; Dyspnea ; Dyspnea - etiology ; Exhalation ; Female ; Humans ; Inhalation ; Internal medicine ; Lung Diseases - complications ; Lung Diseases - diagnostic imaging ; Lung Diseases - etiology ; Lung Neoplasms - complications ; Lung Neoplasms - diagnostic imaging ; Lungs ; Middle Aged ; pulmonary adenocarcinoma ; Radiography ; Respiration ; Respiratory Sounds - etiology ; Thorax ; Tomography, X-Ray Computed</subject><ispartof>Internal Medicine, 2019/02/01, Vol.58(3), pp.423-425</ispartof><rights>2019 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2019</rights><rights>Copyright © 2019 by The Japanese Society of Internal Medicine 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c611t-5d85de73e328915b586d7cd6c99a3e3fec7bc34222746e76a21a0714ce7065533</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6395121/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6395121/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30713289$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Saraya, Takeshi</creatorcontrib><creatorcontrib>Fujiwara, Masachika</creatorcontrib><creatorcontrib>Mikura, Sunao</creatorcontrib><creatorcontrib>Fukuda, Nozomi</creatorcontrib><creatorcontrib>Ishii, Haruyuki</creatorcontrib><creatorcontrib>Takizawa, Hajime</creatorcontrib><title>Answer Found in a Blowing Sound: Amphoric Breathing Due to Cyst Formation in Pulmonary Adenocarcinoma</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>A 51-year-old woman presented with dyspnea that had progressed over the previous year. On a physical examination, harsh, hollow breath sounds with a high-pitched timbre, termed "amphoric breathing", were identified during inspiration and expiration. Chest radiography and thoracic computed tomography performed over the previous three years revealed an enlarging cyst in the right lung arising from an area of consolidation. Pulmonary adenocarcinoma (T4 N0 M1a, stage IV) was diagnosed and considered a possible cause of the cyst, resulting in amphoric breathing.</description><subject>Acoustics</subject><subject>Adenocarcinoma</subject><subject>Adenocarcinoma of Lung - complications</subject><subject>Adenocarcinoma of Lung - diagnostic imaging</subject><subject>air trapping</subject><subject>amphoric breathing</subject><subject>auscultation</subject><subject>breath sounds</subject><subject>Breathing</subject><subject>Case Report</subject><subject>Computed tomography</subject><subject>cyst</subject><subject>Cysts</subject><subject>Cysts - complications</subject><subject>Cysts - diagnostic imaging</subject><subject>Cysts - etiology</subject><subject>Dyspnea</subject><subject>Dyspnea - etiology</subject><subject>Exhalation</subject><subject>Female</subject><subject>Humans</subject><subject>Inhalation</subject><subject>Internal medicine</subject><subject>Lung Diseases - complications</subject><subject>Lung Diseases - diagnostic imaging</subject><subject>Lung Diseases - etiology</subject><subject>Lung Neoplasms - complications</subject><subject>Lung Neoplasms - diagnostic imaging</subject><subject>Lungs</subject><subject>Middle Aged</subject><subject>pulmonary adenocarcinoma</subject><subject>Radiography</subject><subject>Respiration</subject><subject>Respiratory Sounds - etiology</subject><subject>Thorax</subject><subject>Tomography, X-Ray Computed</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNplkcFuEzEQhi1ERUPhFZAlLly2Xdtre80BKQ2UIlUFCThbjneSONq1g-2l6tvjJSGi7WUszXwz849_hDCpzykR6sL5DNGbfoDOWefhvBaUVUQ-QzPCGlVJyvhzNKsVaStawil6mdK2rlkrFX2BTlktCaOtmiGY-3QHEV-F0XfYeWzwZR_unF_j71PqPZ4Pu02IzuLLCCZvpsrHEXAOeHGfcmmMg8ku-Kn529gPwZt4j-cd-GBNLOrCYF6hk5XpE7w-vGfo59WnH4vr6ubr5y-L-U1lBSG54l3LO5AMJm2EL3krOmk7YZUyJbkCK5eWNZRS2QiQwlBiyiWNBVkLzhk7Qx_2c3fjsvyNBZ-j6fUuuqGI0sE4_bDi3Uavw28tmOKEkjLg3WFADL9GSFkPLlnoe-MhjElTIgvYqr-73j5Ct2GcTCkUbYRqFG9oodo9ZWNIKcLqKIbUevJSP_ZST15qIkvrm_-POTb-M68At3tgm7JZwxEwMTvbw9PJvNVsCocNR9BuTNTg2R-Qcr2M</recordid><startdate>20190201</startdate><enddate>20190201</enddate><creator>Saraya, Takeshi</creator><creator>Fujiwara, Masachika</creator><creator>Mikura, Sunao</creator><creator>Fukuda, Nozomi</creator><creator>Ishii, Haruyuki</creator><creator>Takizawa, Hajime</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190201</creationdate><title>Answer Found in a Blowing Sound: Amphoric Breathing Due to Cyst Formation in Pulmonary Adenocarcinoma</title><author>Saraya, Takeshi ; Fujiwara, Masachika ; Mikura, Sunao ; Fukuda, Nozomi ; Ishii, Haruyuki ; Takizawa, Hajime</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c611t-5d85de73e328915b586d7cd6c99a3e3fec7bc34222746e76a21a0714ce7065533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Acoustics</topic><topic>Adenocarcinoma</topic><topic>Adenocarcinoma of Lung - complications</topic><topic>Adenocarcinoma of Lung - diagnostic imaging</topic><topic>air trapping</topic><topic>amphoric breathing</topic><topic>auscultation</topic><topic>breath sounds</topic><topic>Breathing</topic><topic>Case Report</topic><topic>Computed tomography</topic><topic>cyst</topic><topic>Cysts</topic><topic>Cysts - complications</topic><topic>Cysts - diagnostic imaging</topic><topic>Cysts - etiology</topic><topic>Dyspnea</topic><topic>Dyspnea - etiology</topic><topic>Exhalation</topic><topic>Female</topic><topic>Humans</topic><topic>Inhalation</topic><topic>Internal medicine</topic><topic>Lung Diseases - complications</topic><topic>Lung Diseases - diagnostic imaging</topic><topic>Lung Diseases - etiology</topic><topic>Lung Neoplasms - complications</topic><topic>Lung Neoplasms - diagnostic imaging</topic><topic>Lungs</topic><topic>Middle Aged</topic><topic>pulmonary adenocarcinoma</topic><topic>Radiography</topic><topic>Respiration</topic><topic>Respiratory Sounds - etiology</topic><topic>Thorax</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Saraya, Takeshi</creatorcontrib><creatorcontrib>Fujiwara, Masachika</creatorcontrib><creatorcontrib>Mikura, Sunao</creatorcontrib><creatorcontrib>Fukuda, Nozomi</creatorcontrib><creatorcontrib>Ishii, Haruyuki</creatorcontrib><creatorcontrib>Takizawa, Hajime</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Saraya, Takeshi</au><au>Fujiwara, Masachika</au><au>Mikura, Sunao</au><au>Fukuda, Nozomi</au><au>Ishii, Haruyuki</au><au>Takizawa, Hajime</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Answer Found in a Blowing Sound: Amphoric Breathing Due to Cyst Formation in Pulmonary Adenocarcinoma</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. 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subjects	Acoustics Adenocarcinoma Adenocarcinoma of Lung - complications Adenocarcinoma of Lung - diagnostic imaging air trapping amphoric breathing auscultation breath sounds Breathing Case Report Computed tomography cyst Cysts Cysts - complications Cysts - diagnostic imaging Cysts - etiology Dyspnea Dyspnea - etiology Exhalation Female Humans Inhalation Internal medicine Lung Diseases - complications Lung Diseases - diagnostic imaging Lung Diseases - etiology Lung Neoplasms - complications Lung Neoplasms - diagnostic imaging Lungs Middle Aged pulmonary adenocarcinoma Radiography Respiration Respiratory Sounds - etiology Thorax Tomography, X-Ray Computed
title	Answer Found in a Blowing Sound: Amphoric Breathing Due to Cyst Formation in Pulmonary Adenocarcinoma
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