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In digging up the past of this 90-year-old man, a recent Eastern European immigrant to the USA, what is a historical treatment for an ongoing endemic disease he might have received?
  1. George Apergis1,
  2. Francois Abi-Fadel2,
  3. Padmanabhan Krishnan3
  1. 1Department of Medicine, Division of Pulmonary and Critical Care Medicine, Lutheran Medical Center, Brooklyn, New York, USA
  2. 2Department of Medicine, Division of Pulmonary and Critical Care Medicine, State University Of New York, Downstate Medical Center, Brooklyn, New York, USA
  3. 3Department of Medicine, Division of Pulmonary and Critical Care Medicine, Coney Island Hospial, Brooklyn, New York, USA
  1. Correspondence to Dr Francois Abi-Fadel, Department Of Medicine, Division Of Pulmonary and Critical Care, State University Of New York, Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USA; af_francois{at}yahoo.com

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Answer: Oleothorax with expansion.

This 90-year-old man presented for an incidental finding on a chest radiograph of an opacification of the entire left hemithorax. He denied chest pain, haemoptysis, cough, fever, weight loss, night sweats or dyspnoea. Review of the patient's history revealed that 60 years ago he was treated in a sanatorium in Russia, and recollects that his ‘lung …

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  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.