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All in the Loop

Author
Thomas W. DeCato, M.D.
Pulmonary & Critical Care Medicine Fellow
University of Utah and Intermountain Medical Center


Case

A 57 year-old man with a history of renal cell carcinoma presented with subacute cough and dyspnea on exertion.

The patient had no other history of lung disease and was a lifetime non-smoker. Vital signs and cardiopulmonary exam were normal. Spirometry was obtained as part of his clinic visit with the flow-volume loop prompting a further diagnostic test and definitive treatment.

Before

Question

What is the diagnosis?

Answer