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An Aged Man With One Big Chest Lesion and a Scattering of Smaller Ones

An Aged Man With One Big Chest Lesion and a Scattering of Smaller Ones

This article was originally presented as an independent educational activity under the direction of CME LLC. The ability to receive CME credits has expired. The article is now presented here for your reference. CME LLC is no longer respoinsible for the presentation of the article.

HISTORY 

A 78-year-old man is seen upon admission to a behavioral hospital unit. Agitation and visual hallucinations led to this admission. A similar prior episode, complicating his established Lewy body dementia, cleared with hospitalization and clozapine therapy.

PHYSICAL EXAMINATION

Mildly obese man who is conversationally capable and friendly, though dementia is also evident. Vital signs normal. Has a large central sternal seborrheic keratosis. Skin about right breast as shown. Murmur consistent with aortic stenosis. Ventral hernia.

What’s Your Diagnosis?

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