Case 46012

Abstract

Presentation of Case First admission. A sixty-five-year-old Italian-born carpenter entered the hospital because of an abnormal finding in an x-ray film of the chest.Four or five months previously a routine film of the chest showed a "spot" in one of the lungs. The patient was asymptomatic until three months before admission, when a mild, nonproductive cough developed. He had no known exposure to tuberculosis.Physical examination showed an obese man in no distress. The chest and abdomen were normal.The temperature, pulse, respirations and blood pressure were normal.The urine was normal. Examination of the blood revealed a . . .