Multiple lung opacities | Figure 1

gastonq

Internal Medicine

Multiple lung opacities

A 35-year-old female with a history of vulvar epidermoid carcinoma, for which she received chemotherapy and radiotherapy, completed those cycles two weeks ago.

She presents today to the ER for a non-productive cough and back pain that worsens with inspiration. She has no other symptoms.

Her vital signs are normal.

Her cardiac examination is normal.

Thoracic expansion is normal, with good ventilation.

Her respiratory rate is 20, with no dyspnea, symmetrical chest expansion, and bibasilar crackles present on inspiration.

The remainder of the examination is normal.

An X-ray is performed.

Diagnosis added by author
Pulmonary metastases

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