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34세 남환
dyspnea on exertion 주소로 외부 병원 내원. CXR 상 상기 소견보임.
* PFT FVC (1.02 /24%),FEV1(0.9/26%),ratio 85% VC (1.02/24%)
* TTE -normal cardiac chamber and thickness EF61% -No RWMA -Trivial TR TR max 3.0m/sec -borderline resting pulmonary HTN (PA systolic Pr 41mmHg) -no pericardial effusion and IVC plethora :borderline resting pulmonary HTN :Normal LV systolic function.
* [pathology] Lung, left, wedge resection: 1. Parenchymal fibrosis and lymphocytic aggregates around bronchovascular bundle, interlobular septa, and subpleural area, see note 2. Perivascular endothelial cell proliferation, focal 3. Smooth muscle metaplasia and proliferation
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