A 69-Year-Old Woman With Ulcerative Colitis and Pulmonary Nodules

CASE PRESENTATION: A 69-year-old woman with a medical history significant for COPD, ulcerative colitis (UC), and tobacco dependence was referred to a pulmonologist for lung nodules found on routine annual low-dose CT scan for lung cancer screening. Her review of systems was negative for dyspnea, angina, hemoptysis, fever, night sweats, anorexia, and weight loss. She had a successful total proctocolectomy with ileal pouch-anal anastomosis performed 5 years ago because of acute fulminant UC refractory to corticosteroids and biologic agents. Her home medications were albuterol inhaler, umeclidinium, and vilanterol inhalation powder. She denied any history of lung cancers in her family. She was an active smoker and had a 35-pack-year smoking history. She worked as a cashier in a local super- market and had been doing so for the past 25 years.

Automated summary

A 69-year-old woman with a history of COPD and ulcerative colitis was referred to a pulmonologist after lung nodules were found on a routine CT scan. She had a successful total proctocolectomy for refractory UC 5 years ago, and had a smoking history of 35 pack-years.