TY - JOUR T1 - PNeumonia appearing as multiple 'coin lesions' AU - MASUDA H, OSEKI T Y1 - 1989/04/01 N1 - 10.1001/archinte.1989.00390040158040 JO - Archives of Internal Medicine SP - 966 EP - 966 VL - 149 IS - 4 N2 - 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 SN - 0003-9926 M3 - doi: 10.1001/archinte.1989.00390040158040 UR - http://dx.doi.org/10.1001/archinte.1989.00390040158040 ER -