A 52-year-old woman with a history of leiomyoma uteri and tobacco-use disorder in remission presented with 2 months of progressive back pain. Her pain was located between her shoulder blades and was described as constant with intermittent sharp, stabbing sensation. It was nonradiating and aggravated by inspiration. She denied fever, cough, shortness of breath, chest pain, or recent changes in weight or appetite. Two days prior, she was evaluated in the ED for similar symptoms and prescribed naproxen and cyclobenzaprine for suspected musculoskeletal pain. However, she received minimal relief, which prompted her visit. She underwent a total hysterectomy 13 years ago for benign uterine fibroid tumors. She had a 15-pack-year history but quit smoking 3 years ago. Family history was notable for colon and pancreatic cancer in her father and breast cancer in her maternal aunt.

中文翻译：

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一名 52 岁女性，持续性背痛和多发性肺结节。


一名 52 岁女性，有子宫平滑肌瘤和烟草使用障碍缓解期病史，表现为 2 个月的进行性背痛。她的疼痛位于肩胛骨之间，并被描述为持续伴有间歇性尖锐的刺痛感。它是非辐射性的，并且会因灵感而加重。她否认发烧、咳嗽、呼吸急促、胸痛或近期体重或食欲的变化。两天前，她在急诊科接受了类似症状的评估，并开了萘普生和环苯扎林来治疗疑似肌肉骨骼疼痛。然而，她得到的缓解微乎其微，这促使她去探望。13 年前，她因良性子宫肌瘤接受了全子宫切除术。她有 15 包年的吸烟史，但 3 年前戒烟了。家族史以她父亲的结肠癌和胰腺癌以及她的姨妈的乳腺癌而闻名。