Volume 141, Issue 1, Pages (January 2012)

Slides:

Advertisements

Similar presentations

Debapriya Datta, MD, FCCP, Vanessa Yap, MD CHEST

Advertisements

Polymyositis Associated With Severe Interstitial Lung Disease

A 35-Year-Old Man With Fever, Dyspnea, and Diffuse Reticular Opacities

Thomas J. Donnelly, MD, Rubin M. Tuder, MD, Thomas R. Vendegna, MD

Volume 139, Issue 4, Pages (April 2011)

Ground-Glass Centrilobular Nodules on Multidetector CT Scan

Volume 137, Issue 4, Pages (April 2010)

Pulmonary Hypertension, Hemolytic Anemia, and Renal Failure

Volume 120, Issue 3, Pages (September 2001)

Volume 121, Issue 3, Pages (March 2002)

Volume 140, Issue 6, Pages (December 2011)

Volume 142, Issue 3, Pages (September 2012)

Chest Pain and Progressive Miliary Infiltrates in an Elderly Man

Volume 151, Issue 5, Pages e119-e122 (May 2017)

Mediastinal lymph node staging of non-small-cell lung cancer: A prospective comparison of computed tomography and positron emission tomography Walter.

Volume 143, Issue 4, Pages (April 2013)

A Middle-aged Asthmatic Woman With Unresolving Cough

Hiren J. Mehta, MD, Tan-Lucien Mohammed, MD, Michael A. Jantz, MD

Mohamed Ramez Mourad, MD, Olivia M. Siwoski, MD, Kyle R. Brownback, MD

A Predictive Diagnosis: Organizing Pneumonia

Volume 133, Issue 6, Pages (June 2008)

Y-L Chang, MD, C-T Wu, MD, Y-C Lee, MD, PhD

Volume 152, Issue 2, Pages e45-e49 (August 2017)

A 40-Year-Old Man With a Nodular Lung Disease and Skin Rash

Volume 140, Issue 2, Pages (August 2011)

Adenopathy and Pulmonary Infiltrates in a Japanese Emigrant in Brazil

A 40-Year-Old Woman With Multiple Lung Nodules

Benign Superior Vena Cava Syndrome Due to Suppurative Mediastinal Lymphadenitis: Anterior Mediastinoscopic Management Debajit Roy, M.D., Kevin C. Thompson,

Volume 113, Issue 1, Pages (January 1998)

Volume 145, Issue 1, Pages (January 2014)

Volume 138, Issue 6, Pages (December 2010)

Debapriya Datta, MD, FCCP, Vanessa Yap, MD CHEST

Dyspnea in a Transplant Recipient With Pulmonary Nodules

Spontaneous regression of a mediastinal thymoma

Muhammad Umair Khawar, MD, Bhaskar Bhardwaj, MD, Himanshu Bhardwaj, MD

Percutaneous Computed Tomography-Guided Coaxial Core Biopsy for Small Pulmonary Lesions with Ground-Glass Attenuation Chia-Hung Lu, MD, FRCR, Cheng-Hsiang.

Chok Limsuwat, MD, Philip J. Daroca, MD, Joseph A. Lasky, MD CHEST

Volume 140, Issue 1, Pages (July 2011)

A 20-Year-Old Man With Fever, Chest Pain, and Lung Nodules

Evidence of a Graft-versus-Hodgkin Lymphoma Effect in the Setting of Extensive Bone Marrow Involvement Paolo Anderlini, MD Biology of Blood and Marrow.

Volume 135, Issue 5, Pages (May 2009)

Urgent Surgical Approach to Mediastinal Cyst Causing Life-Threatening Tracheal Obstruction Lin Cheng, MD, Ai Huang, MD, Ke Jiang, MD, Shijie Xing, MD,

Volume 154, Issue 3, Pages e77-e81 (September 2018)

Volume 153, Issue 6, Pages e147-e152 (June 2018)

Volume 134, Issue 2, Pages (August 2008)

A 56-Year-Old Man With Cardiac Tamponade and Eosinophilia

A 63-Year-Old Man With Recurrent Dyspnea

A 70-Year-Old Woman With Dyspnea and Chest Pain

Volume 148, Issue 5, Pages e142-e147 (November 2015)

Anterior Mediastinal Bone-Eroding Mass With Disseminated Lung Lesions

Volume 155, Issue 2, Pages e51-e54 (February 2019)

A 79-Year-Old Woman With Bilateral Cavitating Lung Nodules

An Unusual Cause of Pulmonary Nodules After Stem Cell Transplantation

A 45-Year-Old Man With Skin Lesions and Pleural Effusion

Volume 150, Issue 3, Pages e81-e85 (September 2016)

Pulmonary Langerhans' Cell Histiocytosis

An Unusual Case of Postpartum Dyspnea

Volume 151, Issue 6, Pages e131-e134 (June 2017)

Volume 148, Issue 1, Pages e8-e13 (July 2015)

A 54-Year-Old Man Referred With Nonresolving Pneumonia

James X. Liu, BS, Maria C. Shiau, MD, Daisuke Nonaka, MD CHEST

A 40-Year-Old Woman With Multiple Pulmonary Nodules

Ground-Glass Centrilobular Nodules on Multidetector CT Scan

Mediastinal Mass in a 25-Year-Old Man

A Rare Cause of Multiple Cavitary Nodules

A 53-Year-Old Man Presenting With Diplopia and Cavitary Lung Nodules

Volume 140, Issue 3, Pages (September 2011)

An Unusual Case of Postpartum Dyspnea

Lack of FDG Uptake in Small Cell Carcinoma Associated with ANNA-1 Positive Paraneoplastic Autonomic Neuropathy Matthew S. Block, MD, PhD, Robert Vassallo,

Mohamed Ramez Mourad, MD, Olivia M. Siwoski, MD, Kyle R. Brownback, MD

Presentation transcript:

Volume 141, Issue 1, Pages 253-258 (January 2012) An Unusual Pulmonary Mass With Mediastinal Invasion and Multiple Intrapulmonary Nodules in a 52-Year-Old Man Chih-Jen Yang, MD, Jui-Ying Lee, MD, Chun-Chieh Wu, MD, Hsin-Ling Yin, MD, Chi-Tun Lien, MD, Yi-Chang Liu, MD CHEST Volume 141, Issue 1, Pages 253-258 (January 2012) DOI: 10.1378/chest.11-0360 Copyright © 2012 The American College of Chest Physicians Terms and Conditions

Figure 1 A, Chest radiograph showing a mass obscuring the right hilum. The triangular configuration along the lateral margin is consistent with volume loss in the right upper lobe. A widened mediastinum with loss of the right paratracheal stripe is consistent with extensive mediastinal adenopathy. In addition, multiple small nodules over both lung fields were noted. B, Chest CT scan revealed a huge lung mass in the right upper lobe, with lower trachea narrowing and displacement, mediastinal invasion, superior vena cava encasement, and multiple pulmonary nodules over both lungs. Large lymph nodes were noted over the prevascular, right supraclavicular, and paratracheal areas. C, Chest high-resolution CT scan showed pulmonary nodules in the left lung. CHEST 2012 141, 253-258DOI: (10.1378/chest.11-0360) Copyright © 2012 The American College of Chest Physicians Terms and Conditions

Figure 2 A, PET scan showed an 18F-2-fluoro-deoxy-d -glucose (FDG)-avid mass, maximum standardized uptake value 19, size 6.3 cm, in the right upper lobe of the lung with superior vena cava encasement. B, Multiple high-grade FDG-avid nodules in bilateral pulmonary fields. C, One of the pulmonary nodules was sampled under video-assisted thoracoscopic surgery. CHEST 2012 141, 253-258DOI: (10.1378/chest.11-0360) Copyright © 2012 The American College of Chest Physicians Terms and Conditions

Figure 3 A, The specimens showed multiple nodular interstitial infiltrates composed of Langerhans cells, exhibiting delicate folded nuclei with prominent groove and moderate eosinophilic cytoplasm in the background of interspersed eosinophils, histiocytes, and small lymphocytes (H&E stain, original magnification ×100). B, A high mitotic rate of >25 mitoses per 10 high-power fields was presented in H&E stain (×400). Arrows indicate mitotic cells. C, The immunohistochemical stain was positive for S-100 (×400). D, The immunohistochemical stain was positive for CD1a (×400). H&E = hematoxylin and eosin. CHEST 2012 141, 253-258DOI: (10.1378/chest.11-0360) Copyright © 2012 The American College of Chest Physicians Terms and Conditions