Volume 140, Issue 1, Pages (July 2011)

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Volume 140, Issue 1, Pages 245-251 (July 2011) Hemoptysis and Spontaneous Hemothorax in a Patient With Multifocal Nodular Lung Lesions Rafal Krenke, MD, PhD, Joanna Klimiuk, MD, Piotr Korczynski, MD, PhD, Wlodzimierz Kupis, MD, PhD, Malgorzata Szolkowska, MD, PhD, Ryszarda Chazan, MD, PhD CHEST Volume 140, Issue 1, Pages 245-251 (July 2011) DOI: 10.1378/chest.10-1865 Copyright © 2011 The American College of Chest Physicians Terms and Conditions

Figure 1 Posteroanterior chest radiograph taken on admission shows ill-defined parenchymal opacities in the peripheral areas of both lungs. CHEST 2011 140, 245-251DOI: (10.1378/chest.10-1865) Copyright © 2011 The American College of Chest Physicians Terms and Conditions

Figure 2 Thorax CT scan demonstrates multifocal nodules in subpleural regions of both lungs surrounded by ground-glass areas (halo sign). There are also some patchy ground-glass opacities without visible nodules within. CHEST 2011 140, 245-251DOI: (10.1378/chest.10-1865) Copyright © 2011 The American College of Chest Physicians Terms and Conditions

Figure 3 A, Sheet-like small vascular spaces are filled with erythrocytes and surrounded by hemosiderin (hematoxylin-eosin, original magnification ×100). B, Large, polygonal cells show vesicular nuclei, conspicuous nucleoli, and mitotic activity (hematoxylin-eosin, original magnification ×400). C, Tumor cells showed positive results for CD31 (immunohistochemical stain, original magnification ×400). D, Neoplastic cells showed immunoreactivity for FVIII (von Willebrand factor) (immunohistochemical stain, original magnification ×400). CHEST 2011 140, 245-251DOI: (10.1378/chest.10-1865) Copyright © 2011 The American College of Chest Physicians Terms and Conditions