48-Year-Old Man With Bilateral Mediastinal Lymphadenopathy, Orbital Pseudotumors, Kidney Masses, and Acute Pancreatitis

A 48-year-old man with a history of chronic rhinosinusitis, gastroesophageal reflux disease, and diet-controlled non –insulin-dependent diabetes mellitus presented to our pulmonary consultation clinic with chronic dry cough, dyspnea, fatigue, and anorexia of 4 months' duration. The patient was taking montelukast, 10 mg once daily, and fluticasone nasal spray twice daily. Physical examination revealed normal vita l signs with an oxygen saturation of 95% while the patient breathed room air in addition to scattered fine lung crackles on auscultation bilaterally.
Source: Mayo Clinic Proceedings - Category: Internal Medicine Authors: Tags: Residents' Clinic Source Type: research