Udit Chaddha

A 63-Year-Old Woman With Neurofibromatosis Type 1 and Pulmonary Hypertension With Worsening Hypoxemia

CASE PRESENTATION A 63-year-old woman with a history of neurofibromatosis type-1 (NF-1) and pulmonary arterial hypertension (PAH) thought to be secondary to the NF-1 presented with a few weeks of worsening dyspnea on exertion. She took no medications other than sildenafil for her pulmonary hypertension (PH). She denied tobacco, alcohol, and illicit or anorectic drug use. She had previously worked as a waitress. Her mother and her brother had NF-1 but no PH or lung disease.

The Imitation Game: A 55-Year-Old Man With a Lung and Adrenal Mass

To the Editor:Infections can often cause pulmonary lesions that resemble cancer.1 Extrathoracic dissemination raises the suspicion for malignancy. The adrenals are a common site of occult lung cancer metastases, and fluorodeoxyglucose positron emission tomography (FDG-PET) has a high sensitivity and