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We present the case of an 88-year-old woman transferred from OSHCC with symptoms of cough, hemoptysis, anemia, and leukocytosis. Her past medical history includes hypertension managed with lisinopril and atenolol, hypothyroidism, and a neurogenic bladder treated with oxybutinin. She underwent surgical repair for an abdominal aortic aneurysm (AAA) in 2004, and has a history of hiatal hernia and small bowel obstruction (SBO). Family history reveals a son with metastatic lung cancer at 48 and a daughter with metastatic breast cancer at 68. The chronology begins in early July with initial complaints of cough.
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