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A 68-yr-old man with necrotic lung nodules

A 68-yr-old man with necrotic lung nodules. 6 yrs ago. Permanant pacemaker insertion d/t 3rd degree AV block 4 yrs ago. DOE/ascities/PND/orthopnea 로 지방대 병원 입원 . * echo : EF RHF Dx. 입원치료 * echo : EF 18%, DCM, severe LV systolic dysfunction.

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A 68-yr-old man with necrotic lung nodules

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  1. A 68-yr-old man with necrotic lung nodules • 6 yrs ago. Permanant pacemaker insertion d/t 3rd degree AV block • 4 yrs ago. DOE/ascities/PND/orthopnea로 지방대 병원 입원. • * echo : EF RHF Dx. 입원치료 • * echo : EF 18%, DCM, severe LV systolic dysfunction. • BAE, LV & RV dilatation, mod.MR, mod ~ severe TR • * TMT : persistent pacing rhythm (p wave sensing : good) • 이후 PPM f/u check & opd f/u하며 지냄. • 7 months ago Common cold(+)발생후 DOE악화되어 입원 & HT w/u후 퇴원 • 4 months ago; Heart transplantation 시행함 • 13 days ago; diarrhea 로 입원

  2. A cavitary lesion in right upper lobe and multifocal patchy nodular consolidations in both lower lung zones. 14150826

  3. Necrotic nodules with necrosis in both lungs

  4. Necrotizing aspergillus pneumonia (invasive aspergillosis)

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