Primary Lung Adenocarcinoma Manifesting as Bilateral Reticulonodular Infiltrates: A Case Report
A 52-year-old female with a history of gastroesophageal reflux disease (GERD), hypertension (HTN), and supraventricular tachycardia (SVT) status postablation presented with progressive dyspnea and diffuse bilateral infiltrates on imaging. Symptoms began following exposure to a chicken farm, initiall...
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| Format: | Article |
| Language: | English |
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Wiley
2025-01-01
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| Series: | Case Reports in Pulmonology |
| Online Access: | http://dx.doi.org/10.1155/crpu/6678388 |
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| author | Geran Maule Qusai Alqudah Mohamed Ismail Ryan Fox Ajaypal Gill Luis Javier |
| author_facet | Geran Maule Qusai Alqudah Mohamed Ismail Ryan Fox Ajaypal Gill Luis Javier |
| author_sort | Geran Maule |
| collection | DOAJ |
| description | A 52-year-old female with a history of gastroesophageal reflux disease (GERD), hypertension (HTN), and supraventricular tachycardia (SVT) status postablation presented with progressive dyspnea and diffuse bilateral infiltrates on imaging. Symptoms began following exposure to a chicken farm, initially as a dry cough, evolving despite treatment with antibiotics, albuterol, and methylprednisolone. Emergency department CT imaging demonstrated bilateral linear, reticular, and nodular infiltrates. A negative infectious workup prompted bronchoscopy, confirming lung adenocarcinoma via immunohistochemical staining despite no significant smoking history, international travel, or other exposures. Brain MRI identified a solitary 7-mm enhancing lesion, guiding subsequent oncologic management. This case underscores the complexity of diagnosing atypical pulmonary symptoms and advocates for early bronchoscopic evaluation in suspected malignancies, particularly with pertinent family history. |
| format | Article |
| id | doaj-art-a5b01bc1eaf44a91affaaba39f491563 |
| institution | DOAJ |
| issn | 2090-6854 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pulmonology |
| spelling | doaj-art-a5b01bc1eaf44a91affaaba39f4915632025-08-20T03:21:26ZengWileyCase Reports in Pulmonology2090-68542025-01-01202510.1155/crpu/6678388Primary Lung Adenocarcinoma Manifesting as Bilateral Reticulonodular Infiltrates: A Case ReportGeran Maule0Qusai Alqudah1Mohamed Ismail2Ryan Fox3Ajaypal Gill4Luis Javier5Department of Internal MedicineDepartment of Internal MedicineDepartment of Internal MedicineDepartment of Internal MedicineDepartment of Internal MedicineDepartment of Internal MedicineA 52-year-old female with a history of gastroesophageal reflux disease (GERD), hypertension (HTN), and supraventricular tachycardia (SVT) status postablation presented with progressive dyspnea and diffuse bilateral infiltrates on imaging. Symptoms began following exposure to a chicken farm, initially as a dry cough, evolving despite treatment with antibiotics, albuterol, and methylprednisolone. Emergency department CT imaging demonstrated bilateral linear, reticular, and nodular infiltrates. A negative infectious workup prompted bronchoscopy, confirming lung adenocarcinoma via immunohistochemical staining despite no significant smoking history, international travel, or other exposures. Brain MRI identified a solitary 7-mm enhancing lesion, guiding subsequent oncologic management. This case underscores the complexity of diagnosing atypical pulmonary symptoms and advocates for early bronchoscopic evaluation in suspected malignancies, particularly with pertinent family history.http://dx.doi.org/10.1155/crpu/6678388 |
| spellingShingle | Geran Maule Qusai Alqudah Mohamed Ismail Ryan Fox Ajaypal Gill Luis Javier Primary Lung Adenocarcinoma Manifesting as Bilateral Reticulonodular Infiltrates: A Case Report Case Reports in Pulmonology |
| title | Primary Lung Adenocarcinoma Manifesting as Bilateral Reticulonodular Infiltrates: A Case Report |
| title_full | Primary Lung Adenocarcinoma Manifesting as Bilateral Reticulonodular Infiltrates: A Case Report |
| title_fullStr | Primary Lung Adenocarcinoma Manifesting as Bilateral Reticulonodular Infiltrates: A Case Report |
| title_full_unstemmed | Primary Lung Adenocarcinoma Manifesting as Bilateral Reticulonodular Infiltrates: A Case Report |
| title_short | Primary Lung Adenocarcinoma Manifesting as Bilateral Reticulonodular Infiltrates: A Case Report |
| title_sort | primary lung adenocarcinoma manifesting as bilateral reticulonodular infiltrates a case report |
| url | http://dx.doi.org/10.1155/crpu/6678388 |
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