Case 15-1962

Presentation of CaseA fifty-two-year-old woman entered the hospital because of chest pain.She experienced an episode of pain in the right anteroinferior portion of the chest one week before admission. The pain was exacerbated by coughing, but not by respiration. Intermittent diarrhea occurred, and a mild, nonproductive cough and dyspnea developed. Physical examination three days before entry was negative. The diarrhea persisted, and generalized weakness and anorexia occurred, but she continued to work. Two days before admission the chest pain recurred as a chronic ache or feeling of pressure, with no radiation to the arms, but with involvement of . . .