%0 Journal Article %T January 2013 pulmonary case of the month: maybe we should call GI %A Wesselius LJ %J Southwest Journal of Pulmonary and Critical Care %D 2013 %I Arizona Thoracic Society %X No abstract available. Article truncated at 150 words. History of Present Illness A 55 year old man from Arizona was undergoing a renal transplant evaluation because of polycystic kidney disease. He was referred for an abnormal chest x-ray. He was a nonsmoker and there were no respiratory symptoms. PMH, FH and SH He has a long history of polycystic kidney disease, hypertension, gout, and a history of a kidney stone. He is a life-long nonsmoker. There is no significant family history including polycystic kidney disease. He works as a border patrol agent and is originally from Honduras. His present medications include: Allopurinol Amlodipine Atenolol Hydralazine Sodium bicarbonate Physical Examination His blood pressure is elevated at 142/84, but otherwise his physical examination is unremarkable. Chest X-ray His chest X-ray is below (Figure 1). Figure 1. PA (Panel A) and lateral (Panel B) chest x-ray. The chest x-ray was interpreted as showing bilateral lower lobe бн %K pulmonary varices %U http://www.swjpcc.com/pulmonary/2013/1/29/january-2013-pulmonary-case-of-the-month-maybe-we-should-cal.html