title: A 68-Year-Old Musician With Cough, Wheezing, and a Lung Mass.
abstract: A 68-year-old man was referred to the pulmonary clinic for evaluation of cough and a 5-cm right upper lobe mass. He was in his usual state of health until 1 year prior when he developed intermittent cough, wheezing, and sinus congestion. He denied any sputum production or hemoptysis. He also denied any fevers, chills, or weight loss. He had received various treatments within the prior 6 months, including short courses of oral prednisone, levofloxacin, and bronchodilators, without any relief of his symptoms.
authors.affiliation: Departments of Medicine, Emory University, Atlanta, GA.
authors.forename: Mir M
authors.initials: MM
authors.lastname: Alikhan
authors.affiliation: Departments of Pathology and Laboratory Medicine, Emory University, Atlanta, GA.
authors.forename: Colleen S
authors.initials: CS
authors.lastname: Kraft
authors.affiliation: Departments of Pediatrics, Emory University, Atlanta, GA; Departments of Medicine, Emory University, Atlanta, GA.
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Shih
authors.affiliation: Departments of Medicine, Emory University, Atlanta, GA. Electronic address: f.e.lee@emory.edu.
authors.forename: F Eun-Hyung
authors.initials: FE
authors.lastname: Lee
authors.affiliation: Departments of Radiology, Emory University, Atlanta, GA.
authors.forename: William F
authors.initials: WF
authors.lastname: Auffermann
authors.affiliation: Departments of Medicine, Emory University, Atlanta, GA.
authors.forename: David M
authors.initials: DM
authors.lastname: Berkowitz
mesh_terms: D000368:Aged; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D000935:Antifungal Agents / Q000008:administration & dosage; D003371:Cough / Q000175:diagnosis* / Q000209:etiology; D016903:Drug Monitoring / Q000379:methods; D006801:Humans; D007073:Immunoglobulin E / Q000097:blood*; D055744:Invasive Pulmonary Aspergillosis / Q000097:blood / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology; D017964:Itraconazole / Q000008:administration & dosage*; D008297:Male; D011241:Prednisone / Q000008:administration & dosage*; D012135:Respiratory Sounds / Q000175:diagnosis* / Q000209:etiology; D063189:Symptom Assessment / Q000379:methods; D056509:Thermoactinomyces / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
chemical_list: D000893:Anti-Inflammatory Agents; D000935:Antifungal Agents; D017964:Itraconazole; D007073:Immunoglobulin E; D011241:Prednisone