BMJ Case Reports 2018; doi:10.1136/bcr-2017-222644
  • Images in…

Eighty-five-year-old man with mosaic attenuation on chest imaging

  1. Shikha Gupta3
  1. 1Department of Internal Medicine, University Hospital/ Case Western Reserve University, Cleveland, OH, United States
  2. 2Department of Medicine, Univeristy of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
  3. 3Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
  1. Correspondence to Dr Faiza Khalid, Faizakhalid24{at}
  • Accepted 7 December 2017
  • Published 13 January 2018


An 85-year-old man presented with worsening dyspnea and non-productive cough ongoing for 3 days prior to the admission. The patient denied any fever, chills, chest pain, palpitations, orthopnoea or paroxysmal nocturnal dyspnoea. Physical examination was remarkable for mild respiratory distress without any additional findings on auscultation. Social history was significant for >20 pack-year history of smoking. Vitals on admission: blood pressure 138/85, heart rate 92 bpm, respiratory rate 22, pO94% on room air. EKG was noticeable for normal sinus rhythm with ventricular rate of 87, without any ST-T wave changes.

A chest X-ray (CXR) was significant for hyperlucent lungs (figure 1). CT of chest without Intravenous …

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