@entity1884 with growing XXXX followed for 24 years.

@entity1 @entity6582 @entity8721 @entity1415 @entity26 @entity1884 @entity2702 @entity519 @entity292 @entity397 @entity28271 @entity867
A 47-year-old @entity1 was admitted for follow-up of an abnormal chest x-ray. He had a history of @entity1415 and a @entity867 and a family history of @entity2702 . Physical examination showed @entity28271 and @entity8721 of the tongue. Laboratory data revealed evidence of @entity6582 and @entity519 . Contrast echocardiography and pulmonary perfusion scintigraphy were suggestive of a right-to-left shunt. From the @entity26 tension and content of blood taken at cardiac catheterization, the shunt ratio was calculated to be 57.8%. Multiple bilateral @entity2702 were confirmed by angiography, and the @entity1 was diagnosed as having @entity1884 . A review of x-ray films taken over a 24-year period demonstrated that the @entity292 in both lungs had been increasing gradually in size at different rates. A right lower lobectomy relieved the @entity519 , but the @entity1 died unexpectedly on the twelfth postoperative day. There was no evidence of @entity397 on chest film, but no autopsy was performed.
