LAUSR

A white woman in her 50s with a history of breast cancer treated with lumpectomy, radiation, and tamoxifen, complicated by subsequent sarcoma of the same breast treated with mastectomy, was admitted to an outside hospital for 3 days’ shortness of breath. One week prior to hospitalization, she was treated for presumed pneumonia with antibiotics and steroid therapy with only temporary improvement. On presentation to the outside hospital, the patient was found to be hypotensive but improved with fluids. An echocardiogram at the outside hospital was concerning for a pericardial effusion but without an official report. CT angiography of the chest revealed bilateral subpleural ground-glass opacities with no identifiable pleural or pericardial effusion. The patient was transferred to our hospital for further management of hypotension.