Thoracic Key

Thymic Carcinoma Presentation A 53-year-old-man presents to his primary care physician complaining of weight loss, chest pain, and cough. On physical examination, the physician notes decreased breath sounds over the…

Radiation Pneumonitis Presentation A 72-year-old man presents with the chief complaint of shortness of breath. His symptoms have been progressive over the past year. He is able to climb two…

Foramen of Morgagni Hernia Presentation A 22-year-old obese man with no significant medical problems presents to his primary care physician with right upper quadrant abdominal pain for the past 2…

Palliative Laser Stent Treatment Presentation A 65-year-old man presents to the emergency department in moderate distress. The patient reports dyspnea on exertion and blood-streaked sputum for past 4 months. He…

Esophageal Adenocarcinoma and Transhiatal Esophagectomy Presentation A 51-year-old man is admitted to the emergency department with a 2-month history of worsening episodes of dysphagia. He complains of retrosternal discomfort soon…

Pneumonectomy Presentation A 62-year-old Vietnam War veteran presents to the emergency department with complaints of acute shortness of breath. Over several months, he has had a productive cough, occasionally blood…

Neurofibroma Presentation A 25-year-old man is referred to you after an employment-screening chest x-ray reveals an abnormal finding. He is a recent college graduate previously employed as a waiter. He…

Typical Carcinoid Presentation A 51-year-old woman is referred to your office for cough and hemoptysis. Upon questioning, she admits to having noted blood in the sputum for the past 6…

Empyema Presentation A 60-year-old woman presents to the emergency department and is admitted to the hospital with elevated temperature. She has been experiencing fatigue and myalgia for the past several…

Esophageal Adenocarcinoma and Ivor Lewis Esophagectomy Presentation A 65-year-old man is referred to you for management of esophageal cancer after being diagnosed 3 months before his appointment. Initially, the patient…