Abstract
No abstract available. Article truncated after 150 words. A 71-year-old man presented to our pulmonary clinic with a complaint of worsening dyspnea, which seems to be positional in nature. Symptoms were exacerbated by bending over or laying down too quickly. The patient was known to our practice, having had a kidney transplant 17 years ago, a left upper lobectomy for squamous cell carcinoma 6 years ago (no recurrence), and has been on fluconazole for 4 years due to disseminated coccidioidomycosis (cocci) with cavitary pulmonary involvement. The patient had recurrent DVTs 2 years ago and is on Eliquis. On top of that, the patient had COVID 1 year ago, but had recovered. An outside sleep study was remarkable for overnight hypoxia. Outside pulmonary function testing (PFTs) demonstrated a combined restrictive and obstructive picture. An outside chest CT failed to demonstrate any findings that would suggest COVID-related changes or progression of cocci as a potential cause. A V/Q scan was …
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