A 66 year old woman with breathlessness: case outcome

摘要

Five weeks ago (20 March, p 698) we described the case of Mrs Dempsey, who was investigated for suspected heart failure. Her symptoms did not improve after initial treatment, and she had further investigation to determine the cause of her bilateral pleural effusions (27 March, p 758). We then suspected an underlying malignancy, and she had computed tomography to assess her chest and extrapulmonary structures (fig 1). This showed large bilateral effusions associated widi widespread mediastinal, axillary, and abdominal lymphadenopathy. The likely diagnosis was now advanced lymphoma.