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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. 1Department of Histopathology, Royal Brompton Hospital, London, UK
  2. 2Department of Emergency Medicine, Queen Elizabeth Hospital NHS Trust, London, UK
  3. 3Department of Ophthalmology, Guy’s & St Thomas’ NHS Trust, London, UK
  4. 4Department of Medicine, Royal Brompton Hospital, London, UK
  5. 5Department of Radiology, Maidstone & Tunbridge Wells NHS Trust, Tunbridge Wells, Kent, UK
  6. 6Department 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}

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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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  • Competing interests: None.

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