2
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M39_F3.jpg"}},{"insert":"\n\nYou learn that Biju, a well-built 31-year-old man, presented with feverishness, tiredness, a dry cough, and difficulty in breathing for three months, all of which had gradually worsened over time. The shortness of breath was unrelated to exertion, and markedly worse during weekdays. He felt better during weekends, when at home. \n\nThere was no personal or family history of asthma, allergy, atopy, or pulmonary or cardiovascular diseases. Nor was there a history of exposure to tuberculosis, or of smoking. You also learn that Biju has always been interested in ornithology, and that he had opened a specialty shop to sell a variety of exotic birds and bird supplies. He is unmarried, and keeps two dogs as pets at home.\n\nOn examination, his vital signs were normal, with an unremarkable general examination. The cardiopulmonary examination was also without untoward signs.\n"}]}