TY - JOUR T1 - A diagnosis of seclusion JF - Breathe JO - breathe SP - 189 LP - 191 DO - 10.1183/20734735.006410 VL - 7 IS - 2 AU - P. Beckett AU - F. Chishti AU - D. Waller Y1 - 2010/12/01 UR - http://breathe.ersjournals.com/content/7/2/189.abstract N2 - A 40-yr-old female was seen in the rapid-access chest clinic with a 4-month history of dry cough, mild dyspnoea and left chest discomfort, which seemed to have started during a holiday to a sunny European country. Antibiotics given by her primary care physician had not helped. The patient was an ex-smoker (10 pack-yrs, having given up 14 yrs previously). There were no significant comorbidities A chest radiograph (CXR) was performed (fig. 1). Figure 1 Chest radiograph Task 1What does the CXR demonstrate? Cardiomegaly and Kerley-B lines. A right pleural effusion. A density overlying the left hilum. A nodule in the left upper lobe. Answer 1The correct answer is c). The CXR demonstrated a density overlying the left hilum. The patient underwent a computed tomography (CT) scan, which showed a soft-tissue mass in the lower left lobe without any effusion, lymphadenopathy or other distant disease (fig. 2). A … ER -