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Maintaining sharp focus on a grainy film: miliary pattern in an elderly woman with acute respiratory failure
Journal article   Open access   Peer reviewed

Maintaining sharp focus on a grainy film: miliary pattern in an elderly woman with acute respiratory failure

Patrick Hensley, Talal Hilal, Janna Neltner and Bharat Kumar
BMJ case reports, Vol.2015, p.bcr2015210934
2015
DOI: 10.1136/bcr-2015-210934
PMCID: PMC4513546
PMID: 26202315
url
https://europepmc.org/articles/pmc4513546View
Published (Version of record) Open Access

Abstract

An elderly woman with a history of pulmonary tuberculosis reportedly diagnosed and treated 30 years prior to presentation was found unresponsive at home. Chest imaging revealed innumerable pulmonary nodules worrisome for an infectious process, specifically tuberculosis. The patient deteriorated rapidly and in accordance with her wishes, aggressive interventions were withheld. She died within 48 h from respiratory failure. A limited chest autopsy was performed and revealed the cause of death as lymphangitic spread of cancer from a primary lung adenocarcinoma.

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