A 63-Year-Old Man With Recurrent Dyspnea

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A 63-Year-Old Man With Recurrent Dyspnea Saibin Wang, MD, Junwei Tu, MD, Xiaodong Lu, MD CHEST Volume 154, Issue 2, Pages e55-e59 (August 2018) DOI: 10.1016/j.chest.2018.01.028 Copyright © 2018 American College of Chest Physicians Terms and Conditions

Figure 1 A, CT scan showing bilateral pleural effusions. B, CT scan showing a slightly thickened pericardium (arrow). C, Coronal section CT scan showing mediastinal windows and slight pericardial thickening (arrow). D, Two-dimensional echocardiogram demonstrating no evidence of pericardial effusion or thickening. CHEST 2018 154, e55-e59DOI: (10.1016/j.chest.2018.01.028) Copyright © 2018 American College of Chest Physicians Terms and Conditions

Figure 2 A, Video-assisted thoracoscopic surgery showing a clear transparent yellow pleural effusion (white arrows), dense fibrin deposits, and adhesions (black arrows). B, Video-assisted thoracoscopic surgery showing diffuse pleural micronodules (white arrows). C, Hematoxylin and eosin staining of pleural specimens revealing caseous necrosis and granulomatous inflammation (original magnification ×400). CHEST 2018 154, e55-e59DOI: (10.1016/j.chest.2018.01.028) Copyright © 2018 American College of Chest Physicians Terms and Conditions

Figure 3 A, B, Axial chest CT scan showing significant pericardial thickening (arrows) after the initial 6 mo of antituberculous chemotherapy. CHEST 2018 154, e55-e59DOI: (10.1016/j.chest.2018.01.028) Copyright © 2018 American College of Chest Physicians Terms and Conditions