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Less Is More
June 2014

Incidentaloma Fatigue

Author Affiliations
  • 1Massachusetts General Hospital, Boston
  • 2Harvard Medical School, Boston

Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Intern Med. 2014;174(6):851-852. doi:10.1001/jamainternmed.2014.672

One of my primary care patients, a generally healthy man in his mid-50s who was a current smoker, developed left scapular pain followed by numbness in the left shoulder and upper arm. Approximately 1 week after the onset of pain, he became unable to raise his left arm with preservation of distal strength. A colleague saw him urgently and was concerned about a brachial plexus or cervical spine lesion. The patient had no pulmonary symptoms. A chest radiograph showed clear apices but a “left pleural effusion with adjacent atelectasis or pneumonia.”

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