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A 48-years old man with cïugh, hemoptysis
and a left hemithorax opacity on chest x-ray
S. Kourelea, D. Tsagadopoulos, Ch. Hasapis, M. Manteou, B. Karogiannis
SUMMARY: We present the case of a 48-years old man, smoker, with cough,
hemoptysis and dyspnea. The chest x-ray in the context of showed a broad, medially
concave, kidney shaped opacity at the left hemithorax. The patient received
diuretics and three days later the density disappeared. The final diagnosis
was left cardiac failure (phantom tumor) in the context of aortic valve stenosis.
Although the localization of pleural fluid at the left is unusual we should
keep in mind this possibility when history or clinical examimation support it.
The patient may avoid inappropriate or invasive diagnostic procedures such as
biopsy or surgery. Pneumon 2001, 14(1):81-85
Key words: Cardiac failure, pleural fluid, fissure, phantom tumor.
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