Case 34-2015: A 36-Year-Old Woman with a Lung Mass, Pleural Effusion, and Hip Pain

A 36-year-old woman presented with a mass in the middle lobe of the right lung. Lobectomy was performed, and examination of the specimens revealed evidence of lipoid pneumonia and fibrinous pleuritis. Six months later, pain in the right hip developed. A diagnosis was made. Presentation of Case Dr. Dustin Dezube (Medicine): A 36-year-old woman was admitted to this hospital because of a mass in the middle lobe of the right lung. The patient had been in her usual health until 1 month before this admission, when pain in the right shoulder and discomfort in the left lower abdomen developed. The shoulder pain worsened with inspiration and was associated with nonproductive cough, intermittent fevers (to a temperature of 38.1°C), sinus pain, nasal discharge, periorbital erythema, and difficulty breathing. Eleven days before this admission, she presented to another health center for evaluation. Physical examination reportedly revealed . . .