A 72-year- old man is referred to an outpatient pulmonary clinic for evaluation of an abnormal chest radiograph. The chest radiograph was performed as part of routine examination by his cardiologist. PMH: He has a history of coronary artery disease, high cholesterol and hypertension. He was placed on amiodarone after coronary artery bypass grafting 12 years ago. His other medications include clopidogrel, atenolol, rosuvastatin, colesevelam and aspirin. He denies a personal or family history of malignancy.
He works as a mechanical engineer and denies exposure to asbestos, but gives a recent history of exposure to polyurethane and lacquers. He is a life-long nonsmoker and denies exposure to second-hand smoke. He denies symptoms of hemoptysis, weight loss, fatigue or shortness of breath. Physical Exam: The patient is 67 inches tall and weighs 63.5 kgs. He is in no acute distress and…
