CASE PRESENTATION A 34-year-old man presented to a community hospital with sudden-onset pleuritic chest pain on a background of a 12-month indolent history of progressive exertional dyspnea. He denied cough, fevers, night sweats, or weight loss. He reported some low back pain and ache. He had a history of gastroesophageal reflux and was a current smoker with a 20-pack year history. There were no known occupational or environmental exposures and there was no family history of any lung disease.

中文翻译：

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一名患有乳糜胸和骨痛的 34 岁男性

病例介绍 一名 34 岁男性因突发性胸膜炎性胸痛到社区医院就诊，其背景是 12 个月的进行性劳力性呼吸困难的惰性病史。他否认咳嗽、发烧、盗汗或体重减轻。他报告了一些腰痛和疼痛。他有胃食管反流病史，目前吸烟，有 20 年的吸烟史。没有已知的职业或环境暴露，也没有任何肺部疾病的家族史。