Abstract
A 63 yr old woman was admitted to hospital with a 12 mth history of restrictive lung disease. She had a mitral valve prolapse murmur, and atrial fibrillation. She had recently developed increasing shortness of breath, and a productive cough. Chest x-ray revealed an extensive infiltrate of the right lung, and CT scan showed perihilar nodularity of the right lung and no evidence of mediastinal lymphadenopathy. There was atelectasis of the right lower lobe. No other abnormalities were seen, and there was a strong clinical and radiological suspicion of malignancy. She died unexpectedly within 24 hrs of admission, and her death was reported to the Coroner.