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Reprint Address: Shane M. Summers, md, Department of Emergency Medicine, San Antonio Military Medical Center, 3551 Roger Brooke Dr., JBSA Fort Sam Houston, TX 78234
Affiliations
Department of Emergency Medicine, San Antonio Military Medical Center, JBSA Fort Sam Houston, Texas
A 53-year-old woman presented to an Emergency Department in Iraq complaining of severe
right-sided pleuritic chest pain for 24 h. She also reported one episode of hemoptysis,
shortness of breath, and subjective fevers. She was seen in the clinic earlier the
same day and diagnosed with right middle lobe pneumonia on plain chest radiography
(Figure 1). She denied any risk factors for pulmonary embolism. Her past medical and surgical
history was unremarkable.
Figure 1Posteroanterior and lateral views of the chest, obtained earlier in the same day,
reveal the presence of consolidation in the lateral segment of the right middle lobe
(asterisk). There is also a suspected perihilar calcified lymph node, consistent with
remote fungal infection or old granulomatous disease (arrow).
The views expressed in this article are those of the author and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the United States government.
