WOMAN OF 52 YEARS OLD ATTENDED IN CONSULTATION, HAS 3 MONTHS WITH PREDOMINY OF EVENING FEVER OF 38 TO 39 C, EMBIGENTING AND DISNEYING TOMAS ACCOMPANIED BY EXPECTORATION ON YELLOW SPUT, THICK AND WITH BLOOD TRACES, ALSO WEIGHT LOSS OF 5KG. BACKGROUND: HIS PARENTS FAILED PULMONARY PROBLEMS NOT SPECIFIED. TOBACCO FROM HIS YOUTH A DAILY CAJETILLA. PHYSICAL EXPLORATION: WEIGHT 38KG, SIZE 1.44M, FC: 80 LPM, TEMP 37.5C, TA 130/80 MMHG; FEBRILE, SLIMMED, PALE, TORAX SLIMMED WITH AMPLIFIED AMPLEXATION AND AMPLEXION MOVEMENTS, DECREASED APICAL VOCAL VIBRATIONS, RISING APICLES RISING ESTERTERS. ITS STUDIES HEMOGLOBIN OF 18GR / DL, LEUCOS 12,200, PLATELETS 220MIL, GLUCOSE 468MG / DL, CREATININ 0.7MG / DL.