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Images in Thorax
Cementing an unwanted relationship
  1. Chia-Hao Chang,
  2. Li-Ta Keng,
  3. Jen-Chung Ko
  1. Department of Internal Medicine, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, Taiwan
  1. Correspondence to Dr Li-Ta Keng, Department of Internal Medicine, National Taiwan University Hospital Hsin-Chu Branch, No. 25, Lane 442, Section 1, Jingguo Road, Hsinchu 300, Taiwan; ltkeng{at}gmail.com

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A 93-year-old male with COPD, hypertension and stroke presented to the emergency department with cough and dyspnoea. Two months before this episode, he had suffered a compression fracture and therefore received first and second lumbar vertebroplasty with cement implantation. In the emergency department, his oxygen saturation was 88% while breathing ambient air; his other vital signs were normal. Physical examination revealed crackles over his bilateral lung field.

A laboratory test revealed leucocytosis and a mild elevation of the C reactive protein level. A chest …

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