RT Journal
A1 MASUDA H, OSEKI T
T1 PNeumonia appearing as multiple 'coin lesions'
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 1989
FD April 1
VO 149
IS 4
SP 966
OP 966
DO 10.1001/archinte.1989.00390040158040
UL http://dx.doi.org/10.1001/archinte.1989.00390040158040
AB To the Editor.—The excellent article "Round Pneumonia in Adults," in the May 1988 issue of the Archives1 contains a report of three cases of round pneumonia. Because of the rarity of findings seen on chest roentgenogram, I wish to report this case.Report of a Case.—A 53-year-old man was hospitalized with a diagnosis of a possible mass lesion. He described a mild upper respiratory tract illness, with a dry cough, for a week before admission. On the day of hospitalization, he noted a fever and felt increasingly ill. He denied a history of lung tuberculosis. Auscultation of the lung disclosed normal vesicular sounds but no rales. The patient's body temperature was 37.4°C, and the white blood cell count was 9x109/L, with a normal differential cell count. The erythrocyte sedimentation rate was 74 mm in 1 hour, and the C-reactive protein value was 3+. A chest roentgenogram showed