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Clinical Review Interactive case report

A 66 year old woman with breathlessness: case outcome

BMJ 2004; 328 doi: (Published 15 April 2004) Cite this as: BMJ 2004;328:944
  1. Douglas Lowdon (, specialist registrar in medicine for the elderly1,
  2. Marion McMurdo, professor of ageing and health2
  1. 1Royal Victoria Hospital, Dundee DD2 1SP
  2. 2Ageing and Health, Division of Medicine and Therapeutics, Ninewells Hospital, University of Dundee, Dundee DD1 9SY
  1. Correspondence to: D Lowdon

    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 with widespread mediastinal, axillary, …

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