Volume 153, Issue 6, Pages e153-e157 (June 2018)

Slides:

Advertisements

Similar presentations

A Man in His 60s With Circulatory Collapse

Advertisements

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

Tell-tale Telangiectasias

Volume 71, Issue 6, Pages (June 1977)

Volume 67, Issue 5, Pages (May 1975)

Volume 102, Issue 4, Pages (October 1992)

Britta K. Sundquist, MD, Paul G. Comber, MD, PhD, Scott H. Beegle, MD

Volume 139, Issue 2, Pages (February 2011)

Volume 150, Issue 3, Pages e87-e91 (September 2016)

A Man in His 60s With Circulatory Collapse

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

Restoring Balance: Paraneoplastic Cerebellar Degeneration

Volume 152, Issue 4, Pages e89-e93 (October 2017)

Metastatic pancreatic cancer masquerading as pulmonary sarcoidosis

A Rare Cause of Postoperative Hypotension

A Woman in Her 30s With a History of Cervical Cancer Presents With Shortness of Breath and Pleuritic Chest Pain Jing Gennie Wang, MD, Patrick Gerard.

Volume 153, Issue 1, Pages e5-e8 (January 2018)

Volume 153, Issue 2, Pages e33-e36 (February 2018)

A 40-Year-Old Woman With Multiple Lung Nodules

A 61-Year-Old Caribbean Man With Thrush and Acute Respiratory Failure

Volume 142, Issue 1, Pages (July 2012)

A 26-Year-Old Man With a Pleural Effusion and Headache

Elderly Woman With a Cough

Metastatic pancreatic cancer masquerading as pulmonary sarcoidosis

Dyspnea in a Transplant Recipient With Pulmonary Nodules

Britta K. Sundquist, MD, Paul G. Comber, MD, PhD, Scott H. Beegle, MD

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

An Unusual Presentation of Malignant Pleural Mesothelioma

Volume 140, Issue 1, Pages (July 2011)

Volume 149, Issue 6, Pages e191-e194 (June 2016)

Pulmonary Blastoma with Renal Metastasis Responds to Sorafenib

Volume 149, Issue 1, Pages e29-e33 (January 2016)

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

Volume 134, Issue 2, Pages (August 2008)

A 68-Year-Old Man With Dyspnea on Exertion and Cough

Unusual Diffuse Pulmonary Lymphatic Proliferation in a Young Boy

Volume 150, Issue 3, Pages e87-e91 (September 2016)

Volume 142, Issue 3, Pages (September 2012)

A 39-Year-Old Postpartum Woman With Foot Drop and Shortness of Breath

Volume 154, Issue 5, Pages e147-e151 (November 2018)

Volume 45, Issue 4, Pages (April 1964)

A 63-Year-Old Man With Recurrent Dyspnea

Pulmonary Artery Invasion Caused by Mycobacterium tuberculosis

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

Persistent Lobar Atelectasis in a Patient With Chronic Hoarseness

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

An Unusual Cause of Pulmonary Nodules After Stem Cell Transplantation

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

Alexander Zider, MD, Nader Kamangar, MD, FCCP CHEST

An Unusual Case of Postpartum Dyspnea

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

Volume 155, Issue 1, Pages e17-e20 (January 2019)

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

A Man in His 70s Presenting With Chest Pain and Hematuria

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

Volume 155, Issue 3, Pages e69-e74 (March 2019)

A 40-Year-Old Woman With Multiple Pulmonary Nodules

Sean Connolly, MD, Peter Hountras, MD CHEST

Craig Fryman, MD, Sahar Ahmad, MD CHEST

Damian R. Compa, MD, Marc A. Judson, MD, FCCP, Scott H. Beegle, MD

Chronic Cough in a 70-Year-Old Woman

Luke A. Seaburg, MD, Hiroshi Sekiguchi, MD CHEST

Volume 149, Issue 5, Pages e151-e155 (May 2016)

A Diagnostic Conundrum

A Man in His 60s With Circulatory Collapse

An Unusual Case of Postpartum Dyspnea

Volume 153, Issue 6, Pages e123-e128 (June 2018)

A Young Woman With a Rapidly Growing Thoracic Tumor

Presentation transcript:

Volume 153, Issue 6, Pages e153-e157 (June 2018) A 68-Year-Old Lung Transplant Recipient With Shortness of Breath, Weight Loss, and Abnormal Chest CT Ashraf Omar, MD, FCCP, Pradnya D. Patil, MD, Sami Hoshi, MD, Jasmine Huang, MD, Earle Collum, MD, Tanmay S. Panchabhai, MD, FCCP CHEST Volume 153, Issue 6, Pages e153-e157 (June 2018) DOI: 10.1016/j.chest.2017.10.034 Copyright © 2017 American College of Chest Physicians Terms and Conditions

Figure 1 CT of the chest. A, B, mediastinal window. C, D, lung window. The CT demonstrates a loculated left pleural effusion (white arrow), nodular opacities (black arrow), and prominent interlobular septal thickening (red arrow). CHEST 2018 153, e153-e157DOI: (10.1016/j.chest.2017.10.034) Copyright © 2017 American College of Chest Physicians Terms and Conditions

Figure 2 A high-power view (100×) of the VATS lung biopsy. A, hematoxylin and eosin stain. B, TTF-1 stain. C, CK7 stain. CHEST 2018 153, e153-e157DOI: (10.1016/j.chest.2017.10.034) Copyright © 2017 American College of Chest Physicians Terms and Conditions

Figure 3 A, High-power magnification of lung with a centrally located bronchus/pulmonary artery/lymphatic channel complex (black arrow). The lymphatic channel contains a cohesive cluster of large malignant cells (red arrow) demonstrating increased nuclear size, increased nuclear/cytoplasmic ratios, nuclear pleomorphism, and coarsely clumped chromatin (hematoxylin and eosin stain, 100×). B, Lymphatic involvement by adenocarcinoma TTF-1-positive brown nuclear stain (blue arrow). Epithelium of bronchiole staining nuclei darker than the nuclei of the carcinoma (green arrow) (TTF-1 immunostain, 100×). C, Lymphatic involvement by adenocarcinoma CK7-positive brown cytoplasmic stain (purple arrow; CK7 immunostain, 100×). CHEST 2018 153, e153-e157DOI: (10.1016/j.chest.2017.10.034) Copyright © 2017 American College of Chest Physicians Terms and Conditions