A 70-Year-Old Woman with a ‘Lung Stone’

      A 70-year-old immunocompetent woman from the Midwest with a past medical history of pulmonary nodules presented to the emergency department with a 3-day history of fever, malaise, and severe productive cough. She had recently cared for a relative's cats, dog, and pet birds, but she had not traveled outside of the region. She had no history of tobacco use, but did frequently garden and landscape.
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        • Seo JB
        • Song KS
        • Lee JS
        • et al.
        Broncholithiasis: review of the causes with radiologic-pathologic correlation.
        Radiographics. 2002; 22
        • Alshabani K
        • Ghosh S
        • Arrossi AV
        • Mehta AC
        Broncholithiasis: a review.
        Chest. 2019; 156: 445-455
        • Henry NR
        • Hinze JD.
        Broncholithiasis secondary to pulmonary actinomycosis.
        Respir Care. 2014; 59: e27-e30
        • Cole FH
        • Cole Jr, FH
        • Khandekar A
        • Watson DC.
        Management of broncholithiasis: Is thoracotomy necessary?.
        Ann Thorac Surg. 1986; 42: 255-257
        • Wheat LJ
        • Freifeld AG
        • Kleiman MB
        • et al.
        Clinical practice guidelines for the management of patients with histoplasmosis: 2007 update by the Infectious Diseases Society of America.
        Clin Infect Dis. 2007; 45: 807-825