Abstract

Question: A 62-year-old man presented with a progressive exertional dyspnea associated with cough, fever, chills, and rigors for 5 days. His past medical history was significant for a stage IIIB non–small-cell lung carcinoma (squamous cell type) diagnosed 1 year ago. He was treated with concurrent chemoradiotherapy, which was completed 10 months before this presentation. He was febrile at 38°C and cachectic. Significant clinical findings include bronchial breath sounds in the right upper chest and absent breath sounds in the right lower chest on auscultation associated with stony dullness to percussion.

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