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A 27 years old man with dyspnea

A 27 years old man with dyspnea. CC: Dyspnea (ATS G IV) PI: previous healthy, Mild dyspnea, fatigue, general weakness, cough, 2 weeks ago, recently aggrevated. FHx: His mother died (leukemia, 26 years ago), TB(+) Smoking(+), Alcohol(+)

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A 27 years old man with dyspnea

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  1. A 27 years old man with dyspnea • CC: Dyspnea (ATS G IV) • PI: previous healthy, • Mild dyspnea, fatigue, general weakness, cough, 2 weeks ago, recently aggrevated. • FHx: His mother died (leukemia, 26 years ago), TB(+) • Smoking(+), Alcohol(+) • Occupathion Hx: PC방, 호프집 아르바이트, 미용재료 납품, 최근 영업직으로 전환.

  2. Multiple small rounded nodules scattered through both lungs. Multiple small rounded nodules with ground-glass opacities

  3. Transbronchial lung biopsy: Multiple small granulomas

  4. Transbronchial lung biopsy: Multiple small granulomas

  5. Transbronchial lung biopsy: A granuloma with central caseating necrosis (arrow)

  6. AFB stain

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