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Data on adventitious lung sounds collected during the hospitalization period were classified (on the basis of international classifications) as continuous, discontinuous, bronchial on the chest wall, and friction rub sounds (3).
A month ago, the patient was hospitalized for retrosternal pain, shortness of breath, but also left side chest pain accompanied by left pleural friction rub and systemic inflammatory response (ESR of 84 mm, fibrinogen of 780 mg/dl, C-reactive protein of 27 mg/dl, leukocytosis of 13.600/[mm.sup.3], 77 percent neutrophils).
Physical examination may reveal peripheral edema, elevated jugular venous pressure, rales, tachycardia, s3 or s4 gallop, a mitral regurgitant murmur, or a pericardial friction rub.