Abstract:A 58-year-old never-smoker man developed dyspnoea, cough, fevers, weight loss and tremulousness over 4 weeks. He had a brief history of asbestos exposure. Significant medical history included autosomal-dominant polycycstic kidney disease (APKD) and renal transplantation 7 years previously. He took mycophenolate mofetil and tacrolimus immune-suppressants.Examination revealed tachypnoea, a fine right arm tremor, bronchial breathing on the right and a superficial 132 cm non-fluctuant lump over the abdomen. Lymph … Show more
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