Mary Roberts Case Study

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Thank you for referring Mary Roberts, a 78-year-old retired office worker who is an ex-smoker or approximately 25 pack-years, having ceased this habit 15 years ago. Regular medications are Digoxin, Kavea, metformin, Norvasc and warfarin. I understand a chest x-ray was performed in late August due to Mary having some sternal pain at the time. She cannot recall these symptoms specifically. This revealed a left upper lobe opacity that has subsequently led to a CT chest scan, which in turn has demonstrated a spiculate opacity with both solid and hazy ground glass components. There is some tethering of the adjacent pleura. There is no lymphadenopathy or other abnormalities of note. Interestingly there is a chest x-ray from 2014 with a fain

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