Case of this week: Case 81 (15 May 1998)

Supplier: Jae-Woo Song, MD, Seoul City Boramae Hospital, Seoul, Korea


Age/Sex: 66/M
Brief History & Lab. findings:
    dry cough & progressive exertional dyspnea for one month with rapid progression during last several days,
    previously healthy, no hystory of DM or tuberculosis,  no fever, no sign of edema
    WBC 9600
    Arterial Blood Gas Analysis: pH 7.39, PaCO2 39mmHg, PaO2 50mmHg, HCO3- 23meq/L
    Pulmonary Function Test: FEV1 1.41(50%), FVC 1.64(40%), DLCO 30%


Chest PA 1 (on admission)

Chest AP (one day after Chest PA 1)

CT1 (on admission)

CT2

CT3


Diagnosis and brief discussion

No. of Applicants: 23

Correct Answer: 18
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Semi-Correct Answer: 2
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