Here is a very sad case. This is a 29 y/o man with a long Hx of TOB use who was diagnosed with stage IV lung Ca last September and had been given Chemo at the time. He now presents with dyspnea and bone pain. I have posted some films below.
Have you seen such a dramatic presentation at this young age? Would you work him up for any other conditions that may have led to this aggressive disease course?
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What is his family history?
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