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Hepatic-pulmonary disease
A 42-year-old Colombian woman, who has lived her entire life on a farm, has a 12 years history of intermittent episodes of sharp left thoracic pain, associated with cough and hemoptysis, for which she received several empiric antibiotics achieving little improvement. Now she was admitted for two months of fever, chills, malaise and non-specific upper abdominal pain. On physical examination, she was afebrile, anicteric, blood pressure 90/60 mmHg, pulse 90 per minute, no heart murmurs were heard, but in pulmonary auscultation, a decrease in respiratory sounds of the right lung field was found, and the abdominal examination revealed hepatomegaly and mild tenderness in her right upper quadrant.
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