An unusual cause of chest painBMJ 2017; 358 doi: https://doi.org/10.1136/bmj.j3438 (Published 17 August 2017) Cite this as: BMJ 2017;358:j3438
- Kevin Conroy, respiratory medicine ST5,
- Abdul Aziz, consultant in respiratory medicine
- Queen Elizabeth Hospital, Gateshead, UK
- Correspondence to K Conroy
A 65 year old man with a 40 pack year smoking history described a one month history of worsening breathlessness and chest discomfort on walking. He presented to hospital following a collapse after self-administering sublingual glyceryl trinitrate to relieve his symptoms. He reported no history of cough or coryza and had neither lost weight nor experienced any haemoptysis. A chest radiograph was taken (fig 1⇓). What is the most likely diagnosis?
Lymphangitis carcinomatosa and underlying malignancy would account for this radiograph appearance and history.
Lymphangitis carcinomatosa describes …