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Pulmonary puzzle
A 69-year-old smoker with mediastinal and hilar lymphadenopathy
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  1. Y H Khor1,
  2. D P Steinfort1,
  3. M R Buchanan2,
  4. D Gunawardana3,
  5. P Antippa4,
  6. L B Irving1
  1. 1Department of Respiratory Medicine, Royal Melbourne Hospital, Victoria, Australia
  2. 2Department of Pathology, Royal Melbourne Hospital, Victoria, Australia
  3. 3Department of Nuclear Medicine, Royal Melbourne Hospital, Victoria, Australia
  4. 4Department of Cardiothoracic Surgery, Royal Melbourne Hospital, Victoria, Australia
  1. Correspondence to Dr Yet Hong Khor, Department of Respiratory Medicine, Royal Melbourne Hospital, Grattan Street, Parkville, Victoria 3050, Australia; YetHong.Khor@mh.org.au

https://doi.org/10.1136/thx.2009.123828

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    Clinical presentation

    A 69-year-old male heavy smoker was referred to our service with 6 months minimal productive cough and 2 weeks pleuritic central chest pain, with no weight loss or constitutional symptoms. There was no relevant previous medical history. Clinical examination demonstrated no abnormalities. CT …

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