1. Presented by Peter Illei, M.D. and prepared by Julie M. Wu, M.D.

68-year-old woman with a history of melanoma in 1978 and total abdominal hysterectomy and bilateral salpingo-oophorectomy for an unknown tumor who had been in good health. She now presents with a dry cough, associated with increasing fatigue and generalized malaise. Multiple CAT scans of her chest demonstrated pleural thickening and were intermittently associated with a small right-sided pleural effusion. They also did show moderately sized mediastinum lymph nodes that had increased slowly in size. She has no known history of asbestos exposure.

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