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A 60-year-old man with no prior history
A 60-year-old man with no prior history of illness had a mild upper respiratory infection for a few days, and yesterday suddenly developed fever, rigors, and right-sided chest pain with inspiration. This morning, he was coughing up yellow sputum with rust-colored blood tinging. His temperature on admission was 102oF. Rales were audible over the lower right chest posteriorly. Chest x-ray demonstrated a right lower lobe consolidated infiltrate with air bronchograms. CBC revealed a white cell count of 18,000, with 70 polys, 10 bands, and 20 lymphocytes. The remainder of the CBC was normal. What are the top 2-3 diagnoses to think about in this case?
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