Alexander Zider, MD, Nader Kamangar, MD, FCCP CHEST

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An 80-Year-Old Woman With Progressive Shortness of Breath and a Mediastinal Mass Alexander Zider, MD, Nader Kamangar, MD, FCCP CHEST Volume 150, Issue 1, Pages e19-e22 (July 2016) DOI: 10.1016/j.chest.2016.01.025 Copyright © 2016 American College of Chest Physicians Terms and Conditions

Figure 1 Chest radiograph shows an ill-defined right peri or infra-hilar density, a right-sided reticulonodular opacities, and a bilateral small pleural effusions. CHEST 2016 150, e19-e22DOI: (10.1016/j.chest.2016.01.025) Copyright © 2016 American College of Chest Physicians Terms and Conditions

Figure 2 Soft tissue window chest CT scan shows significant narrowing and diffuse calcification of the right mainstem and an enlarged main pulmonary artery (A), an infiltrative ill-defined right hilar density with compression of the right pulmonary artery (B), narrowing of the right inferior pulmonary, right lower and middle lobe atelectasis, and a generous sized left atrium (C), and a large-sized left mainstem broncho-mediastinal fistula with gas in the subcarinal space (D). CHEST 2016 150, e19-e22DOI: (10.1016/j.chest.2016.01.025) Copyright © 2016 American College of Chest Physicians Terms and Conditions