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Thorax 63:492 doi:10.1136/thx.2007.091074
  • Pulmonary puzzle
    • Miscellaneous

Progressive dyspnoea, pleural effusions and lytic bone lesions

  1. A G Nicholson1,
  2. E Anderson2,
  3. S Saha3,
  4. M Indrajith4,
  5. B Conry5,
  6. J Hughes6
  1. 1
    Department of Histopathology, Royal Brompton Hospital, London, UK
  2. 2
    Department of Emergency Medicine, Queen Elizabeth Hospital NHS Trust, London, UK
  3. 3
    Department of Ophthalmology, Guy’s & St Thomas’ NHS Trust, London, UK
  4. 4
    Department of Medicine, Royal Brompton Hospital, London, UK
  5. 5
    Department of Radiology, Maidstone & Tunbridge Wells NHS Trust, Tunbridge Wells, Kent, UK
  6. 6
    Department of Medicine, Maidstone & Tunbridge Wells NHS Trust, Tunbridge Wells, Kent, UK
  1. Dr S Saha, Medical Eye Unit, Department of Ophthalmology, St Thomas' Hospital, London SE1 7EH, UK; shouvik.saha{at}doctors.org.uk

    CLINICAL PRESENTATION

    A 72-year-old man was referred following a CT scan which showed lytic and sclerotic lesions in the spine and pelvis with bilateral pleural effusions and thickening. The patient was an ex-smoker with progressive dyspnoea and significant weight loss over 1 year. There was no history …

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