{"ops":[{"insert":"A 42 year old man presents with exertional dyspnea for 10 years, which rapidly progressed over the last 7 months to the point that it is now present even at rest. He also experienced a nonproductive cough and generalized weakness during the same time.\n\nHis medical history is unremarkable, he is not on any drugs, and he does not smoke. He worked as a stonecutter for a 10 year period, until 7 years ago.\n\nHis full blood count is normal, but the ESR is 45mm in the 1st hour.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-196_en.png"}},{"insert":"\n"}]}
2
Investigate
Tuberculin Test
{"ops":[{"insert":"The tuberculin test is negative\n"}]}
Chest X-Ray
{"ops":[{"insert":"There are mottled opacities and large nodular masses in both lungs, with the right upper and mid zones particularly affected.\n"}]}
