Volume 155, Issue 6, Pages e175-e178 (June 2019)

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Volume 155, Issue 6, Pages e175-e178 (June 2019) A 52-Year-Old Woman With an Abdominal Mass, Bilateral Pulmonary Nodules, and Mediastinal and Hilar Lymphadenopathy Benjamin J. Van Treeck, MD, Daniel A. Gehlbach, DO, Gregory H. Foster, MD, James P. Utz, MD, Marie-Christine Aubry, MD, Thomas V. Colby, MD, Eunhee S. Yi, MD CHEST Volume 155, Issue 6, Pages e175-e178 (June 2019) DOI: 10.1016/j.chest.2019.01.017 Copyright © 2019 American College of Chest Physicians Terms and Conditions

Figure 1 A-D, Chest CT scan with contrast showing the right upper lobe nodule and hilar/mediastinal lymphadenopathy (A). Right upper lobe nodule biopsy demonstrating well-formed nonnecrotizing granulomas (B) (hematoxylin and eosin, magnification ×200) with polarizable crystals (C) (polarized hematoxylin and eosin, magnification ×200). Energy-dispersive X-ray spectroscopy analysis showing presence of Mg, Si, and O with Fe as an impurity (D). Cu, Ti, and C signals originate from the microscope equipment or epoxy resin. C = carbon; Cu = copper; Fe = iron; Mg = magnesium; O, oxygen; Si = silicon; Ti = titanium. CHEST 2019 155, e175-e178DOI: (10.1016/j.chest.2019.01.017) Copyright © 2019 American College of Chest Physicians Terms and Conditions