35 yo woman with asthma presents with months of SOB

Case and content by Lauren Brown, MD
Expert radiology interpretation by David Godwin, MD


OBJECTIVE
  • Use the distribution of lung disease to create a targeted differential diagnosis

CASE

35 yo woman with history of eczema and childhood asthma presents to clinic with two months of progressive dyspnea, dry cough, and daily low-grade fever, associated with myalgias, arthralgias, and non-drenching night sweats. She denies sick contacts, recent travel, or known new exposures.

Vital signs and physical examination are normal. Labs reveal WBC 15K (36% PMN, 13% L, 4% M, 46% Eos), elevated ESR/CRP, and normal BMP and LFTs.

CXR

How does the distribution of lung findings guide your differential diagnosis? 


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