TY - JOUR T1 - A 75-year-old female with dyspnoea and chest pain JF - European Respiratory Journal JO - Eur Respir J SP - 768 LP - 770 DO - 10.1183/09031936.05.00110904 VL - 25 IS - 4 AU - M. Tresinie AU - F. Van De Maele AU - W. Verhaeghe AU - B. Van de Maele AU - R. Venken AU - K. Hertveldt Y1 - 2005/04/01 UR - http://erj.ersjournals.com/content/25/4/768.abstract N2 - A 75-yr-old nonsmoking female, with an unremarkable medical history, was admitted to the emergency ward for evaluation of dyspnoea and right-sided thoracic pain. Physical examination revealed tachycardia and decreased breath sounds at the right lower base, with dullness on percussion. Electrocardiography showed atrial fibrillation. A right-sided hemithoracic mass was seen upon chest radiography (fig. 1⇓). Computed tomography (CT) of the chest and magnetic resonance (MR) were also performed (figs 2⇓ and 3⇓).Fig. 1— Chest radiograph.Fig. 2— Computed tomography of the chest.Fig. 3— Magnetic resonance tomography of the chest and abdomen (T2-weighted image). Laboratory results were as follows: white blood cells = 13.42×106 cells·L-1; red blood cells = 451×106 cells·L-1 and serum total protein 66 g·L-1 (albumin = 55.1%, gammaglobulin = 12.1%). Carcinoembryonic antigen, β2-microglobulin, α-fetoprotein and β-human chorionic gonadotropin were all within normal range. Abdominal ultrasound revealed a liver cyst. Bone scintigraphy and CT of the … ER -