Case [Image] courtesy of Dr Aditya Shetty, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/27747">rID: 27747</a>
A 45 year old male presents with a cough.
HPI: 45 yo M presents with 1 week of debilitating cough and nocturnal sweating. He was briefly incarcerated until he was released four weeks ago, then developed a severe productive cough with reddish brown sputum one week later. This was accompanied by a recent weight loss of about 15 pounds over the past few weeks, and waking up sweating almost every night. He currently doesn't feel feverish and denies chest pain, shortness of breath, abdominal pain, or ever experiencing these symptoms before.
PMH: No previous history of hospitalizations or surgeries.
Family Hx: No relevant family history
Social Hx: Usually drinks 5-8 drinks each weekend. 20 pack-year history of smoking. History of IV drug use. Sexually active with multiple female partners.
ROS: Negative except noted above.
Temperature: 38.2°C (100.8°F)
HR: 81 bpm
SpO2: 94% on room air
HEENT: An enlarged, painless, soft left cervical lymph node is noted.
CV: Regular rate and rhythm, S1 and S2 intact, no murmurs, rubs, or gallops
Lungs: Crackles heard in the right lower lung field.
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