A 54-year-old woman presented with dyspnoea progressing over 4 weeks and sudden onset pleuritic chest pain. She had no other symptoms. Without lung function testing, 'asthma' had been diagnosed 1 year previously and combination long acting beta-2 agonist and corticos-teroid inhaler commenced. Symptoms were limited to cough and breathlessness which were unrelieved by this treatment. She had no other significant medical history.
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