Abstract
A 38-year-old man came to the emergency room with the chief complaint of nonproductive cough, nasal congestion, and bilateral anterior pleuritic chest pain of two days’ duration. He had smoked one pack of cigarettes per day for 20 years and was otherwise healthy and without complaints. The patient was paraplegic as a result of a left flank gunshot wound during the Vietnam War 20 years earlier. At that time, he required emergent left nephrectomy, splenectomy, and repair of the left hemidiaphragm.
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