Volume 155, Issue 5, Pages e141-e144 (May 2019)

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Presentation transcript:

Volume 155, Issue 5, Pages e141-e144 (May 2019) A 42-Year-Old Man With Shortness of Breath, Fever, and Pleural Effusions Jessica K. Millar, BS, Lauryn A. Benninger, DO, Ying Li, MD, Ali Ataya, MD CHEST Volume 155, Issue 5, Pages e141-e144 (May 2019) DOI: 10.1016/j.chest.2018.10.035 Copyright © 2018 American College of Chest Physicians Terms and Conditions

Figure 1 Chest radiograph showing diffuse bilateral pulmonary infiltrates with right pleural effusion. CHEST 2019 155, e141-e144DOI: (10.1016/j.chest.2018.10.035) Copyright © 2018 American College of Chest Physicians Terms and Conditions

Figure 2 CT scan of the chest revealed bilateral pleural effusions, larger on the right, with bony destruction of the right ninth rib. CHEST 2019 155, e141-e144DOI: (10.1016/j.chest.2018.10.035) Copyright © 2018 American College of Chest Physicians Terms and Conditions

Figure 3 A, Pleural fluid cytology revealed neoplastic plasma cells at an original magnification of ×400. B-D, These cells stained positive for CD138 (B) and λ light chains (D), but were negative for κ light chains (C), HHV8, EBV, and ALK1 (original magnification, ×400). ALK1 = activin receptor-like kinase 1; EBV = Epstein-Barr virus; HHV8 = human herpesvirus 8. CHEST 2019 155, e141-e144DOI: (10.1016/j.chest.2018.10.035) Copyright © 2018 American College of Chest Physicians Terms and Conditions