496
We ask: What is the diagnosis?
• A 70 - ye ar- o ld fe m ale patie nt w ith a histo ry o f chro nic co ug h and
e xpe cto ratio n o f w hitish sputum fo r 9 m o nths. Patie nt re po rts a 4 - kg w e ig ht lo ss o ve r the sam e pe rio d.
Th is se ct io n is in t e n d e d t o e n co u ra g e a d ia g n o st ic a p p ro a ch b a se d o n clin ica l a n d ra d io g ra p h ic f in d in g s. We in vit e a ll o f o u r re a d e rs t o p a rt icip a t e . Su b m it yo u r d ia g n o sis b y co m p le t in g t h e f o rm yo u will f in d o n o u r we b sit e : www.jo rn a ld e p n e u m o lo g ia .co m .b r; o r b y e - m a il t o : jp n e u m o @ t e rra .co m .b r. Re m e m b e r t o in clu d e t h e f u ll n a m e o f yo u r in st it u t io n . In t h e n e xt issu e o f t h e jo u rn a l, we will p u b lish t h e d ia g n o sis f o r t h is ca se , a lo n g wit h t h e n a m e s o f t h o se wh o su b m it t e d co rre ct re sp o n se s. Th e im a g e s sh o wn a b o ve a re t h o se t h a t we re m o st re le va n t in m a kin g t h e f in a l d ia g n o sis.
CIRO YOSHIDA J UNIOR UNIFESP- EPM, São Pau lo , SP.
DANY JASINOWODOLINSKI Cen t ro de Medicin a Diagn óst ica Fleu ry,
São Pau lo, SP
GUSTAVO DE SOUZA PORTES MEIRELLES UNIFESP- EPM, Sã o Pa u lo , SP e Cen t ro d e Med icin a Diag n ó st ica Fleu ry, São Pau lo , SP.
NESTOR MÜLLER
