50 M smoker presents w/ cough, fever, progressive dyspnea. R sided infiltrate & pleural effusion. Gram stain, AFB/fungal stains negative. No malignant cells. Lung biopsy smudge cell. Dx?
Go to next page to see answer and discussion.
For our visitors from the ID-Fellows Cup, please leave a comment below to be entered into our drawing! Please share learning points from the case and your team name.