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

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Volume 150, Issue 3, Pages e81-e85 (September 2016) Ten Years of Chronic Cough in a 64-Year-Old Man With Multiple Pulmonary Nodules Whittney A. Warren, DO, Scott S. Dalane, MD, Bryce D. Warren, PhD, Paul G. Peterson, MD, Rodney D. Boyum, MD, William Kelly, MD CHEST Volume 150, Issue 3, Pages e81-e85 (September 2016) DOI: 10.1016/j.chest.2016.03.040 Copyright © 2016 Terms and Conditions

Figure 1 Histopathologic findings from left upper lobectomy (hematoxylin and eosin stain; original magnification, ×40), demonstrating 0.4-mm focus of neuroendocrine cell hyperplasia. Printed with written consent from the patient. CHEST 2016 150, e81-e85DOI: (10.1016/j.chest.2016.03.040) Copyright © 2016 Terms and Conditions

Figure 2 A, CT scan of the chest with contrast (10 years prior to presentation) revealing lingular nodule (arrow) and diffuse mosaic attenuation. Printed with written consent from the patient. B, CT scan of the chest with contrast (10 years prior to presentation) demonstrating other scattered nodules (arrow) and multiple areas of mosaic attenuation (asterisk). Printed with written consent from the patient. C, Positron emission tomography-CT axial fusion image of the chest (10 years prior to presentation) with a standardized uptake value of 1.3 for the lingular nodule. Printed with written consent from the patient. D, Most recent CT scan of the chest revealed diffuse mosaic attenuation with scattered noncalcified nodules (arrow). Printed with written consent from the patient. CHEST 2016 150, e81-e85DOI: (10.1016/j.chest.2016.03.040) Copyright © 2016 Terms and Conditions

Figure 3 Histopathologic findings from left upper lobectomy (hematoxylin and eosin stain, original magnification, ×40) demonstrating typical carcinoid. Printed with written consent from the patient. CHEST 2016 150, e81-e85DOI: (10.1016/j.chest.2016.03.040) Copyright © 2016 Terms and Conditions

Figure 4 Histopathologic findings from left upper lobectomy (hematoxylin and eosin stain; original magnification, ×10) demonstrating a 2.3-mm carcinoid tumorlet. Printed with written consent from the patient. CHEST 2016 150, e81-e85DOI: (10.1016/j.chest.2016.03.040) Copyright © 2016 Terms and Conditions

Figure 5 Histopathologic findings from left upper lobectomy (chromogranin A immunohistochemical stain), consistent with carcinoid (original magnification, ×10). Printed with written consent from the patient. CHEST 2016 150, e81-e85DOI: (10.1016/j.chest.2016.03.040) Copyright © 2016 Terms and Conditions