The hypoxic patient with a normal chest X-ray can be a diagnostic challenge. This case illustrates the rational diagnostic process and describes a relatively rare but important complication of cancer metastasis. Thrombotic microangiopathy, like lymphangitis carcinomatosa, may cause respiratory failure and is a poor prognostic finding. However, unlike lymphangitis carcinomatosa, it may not have specific findings on cross-sectional imaging.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7385784 | PMC |
| http://dx.doi.org/10.7861/clinmed.2020-0102 | DOI Listing |
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