Endobronchial Ultrasonography With a Guide Sheath in the Diagnosis of Benign Peripheral Diseases Naofumi Shinagawa, MD, PhD, Kosuke Nakano, MD, Hajime.

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Endobronchial Ultrasonography With a Guide Sheath in the Diagnosis of Benign Peripheral Diseases Naofumi Shinagawa, MD, PhD, Kosuke Nakano, MD, Hajime Asahina, MD, PhD, Eiki Kikuchi, MD, PhD, Tomoo Ito, MD, PhD, Yoshihiro Matsuno, MD, PhD, Satoshi Oizumi, MD, PhD, Yasuyuki Nasuhara, MD, PhD, Masaharu Nishimura, MD, PhD The Annals of Thoracic Surgery Volume 93, Issue 3, Pages 951-957 (March 2012) DOI: 10.1016/j.athoracsur.2011.11.073 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Patient disposition. The Annals of Thoracic Surgery 2012 93, 951-957DOI: (10.1016/j.athoracsur.2011.11.073) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 A case of nontuberculous mycobacteriosis. (A) Computed tomographic scan showed a pulmonary nodule (diameter, 15 × 14 mm) in the left lingular segment (S4). (B) Endobronchial ultrasonography showed a low-echoic nodule. (C) Histologic images of biopsy specimens showed caseous necrosis and an epithelioid granuloma (hematoxylin and eosin stain, ×40). (D) Using Ziehl-Neelsen staining of specimens from transbronchial brushing cytologic analysis, acid-fast bacilli were detected (×400). The specimen culture was positive for Mycobacterium avium. The Annals of Thoracic Surgery 2012 93, 951-957DOI: (10.1016/j.athoracsur.2011.11.073) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 A case of organized pneumonia. (A) Computed tomographic scan showed a pulmonary nodule (diameter, 31 × 20 mm) in the right upper lobe (S1). (B) Endobronchial ultrasonography showed a low-echoic nodule. (C) Histologic images of biopsy specimens showed organization in the alveolar space (hematoxylin and eosin stain, ×100). The specimen culture result was negative. The Annals of Thoracic Surgery 2012 93, 951-957DOI: (10.1016/j.athoracsur.2011.11.073) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions