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Case 1

Jin Mo Goo, M.D., Jung-Gi Im, M.D.
Seoul National University Hospital

History

A 20-year-old man presented with weight gain and dyspnea.
He had been admitted several times to evaluate and treat an underlying disease. Can you guess the underlying disease and two current problems of the patient from the three-year interval chest radiographs and CT scans? Describe the current problems of the patient.
 Fig 1. Chest PA (96. 6)
 Fig 2. Chest PA (99. 7)
 Fig 3-5. Chest CT (99. 7)

Now, what is your impression?            Final Diagnosis with Discussion