{"ops":[{"insert":"A 48 year old woman presents with progressive dyspnea for 1 week. There was no cough or chest pain.\n\nShe was diagnosed with metastatic cancer of the right breast 1 year ago, for which a radical mastectomy was performed. She completed her 6th cycle of chemotherapy three months ago.\n\nOn admission, her oxygen saturation was 82%, which improved to 99% with high flow oxygen. A full blood count and chest x-ray are normal.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-030_en.png"}},{"insert":"\n"}]}
2
Investigate
HRCT chest
{"ops":[{"insert":"There are patchy areas of ground-glass attenuation, in a background of interlobular septal thickening.\n"}]}
Sputum induction & culture
{"ops":[{"insert":"Gram stain: negative\nGiemsa \u0026 Methenamine Silver stains: negative\nCulture results will be available in 3 days.\n"}]}