Abstract
An 82-year-old woman was seen in the pulmonary clinic for complaints of shortness of breath and intermittent wheeze associated with cough productive of scanty white phlegm. This persisted despite treatment with an inhaled bronchodilator and two courses of antibiotics and prednisone that were prescribed by her primary care physician prior to evaluation in the pulmonary clinic. She was a lifelong nonsmoker with a medical history significant only for a partial colectomy, secondary to two reportedly malignant polyps in her colon, 5 years previously.
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