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A 38-year-old male who never smoked, who did not take any medication regularly, and who did not have any comorbid disease applied to the outpatient clinic of Chest Diseases with complaints of shortness of breath that had started a week previously and had gradually become more severe; cough that occurred as attacks, particularly at night; and mild retrosternal pain/burn associated with effort. His medical history revealed that he had applied to the outpatient clinics of Cardiology and Internal Medicine due to similar complaints two months ago. An echocardiography examination demonstrated no pathology except a pericardial effusion with a thickness of 0.4 cm localized in the posterior part of the right atrium, and the patient’s chest radiography results were normal (Figure 1). In his medical history, it was learned that the shortness of breath had regressed after antibiotic therapy given due to a pre-diagnosis of upper respiratory tract infection, but had not completely healed. When his occupational history was questioned, it was learned that he worked in an office. However, he had been exposed to excessive amounts of dust from construction work in the office for approximately two months. He had no features in his familial history except breast cancer for his mother and diabetes mellitus for his father.

A Young Male Patient Presented with Dyspnea, Cough, and Bilateral Pulmonary Infiltrations: What is Your Diagnosis?