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Dyspnea in a Transplant Recipient With Pulmonary Nodules

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Presentation on theme: "Dyspnea in a Transplant Recipient With Pulmonary Nodules"— Presentation transcript:

1 Dyspnea in a Transplant Recipient With Pulmonary Nodules
Wen Yee Chay, MD, Alvin Penafiel, MD, Jagadesan Raghuram, MD, Khoon Leong Chuah, MD, Chian Min Loo, MD, FCCP, Pyng Lee, MD, FCCP  CHEST  Volume 135, Issue 3, Pages (March 2009) DOI: /chest Copyright © 2009 The American College of Chest Physicians Terms and Conditions

2 Figure 1 Chest radiograph showing hyperinflated lungs with bilateral basal nodular opacities. CHEST  , DOI: ( /chest ) Copyright © 2009 The American College of Chest Physicians Terms and Conditions

3 Figure 2 CT scan showing an endobronchial mass obstructing the left mainstem bronchus (black arrowhead) and well-defined nodules of different sizes randomly distributed throughout the lungs (white arrows). CHEST  , DOI: ( /chest ) Copyright © 2009 The American College of Chest Physicians Terms and Conditions

4 Figure 3 Bronchoscopic image of near total obstruction of the left mainstem bronchus by an endobronchial mass. CHEST  , DOI: ( /chest ) Copyright © 2009 The American College of Chest Physicians Terms and Conditions

5 Figure 4 A higher magnification image showing spindle cells with eosinophilic cytoplasm and a surface-attenuated epithelium in the right field (hematoxylin-eosin, original ×200). CHEST  , DOI: ( /chest ) Copyright © 2009 The American College of Chest Physicians Terms and Conditions

6 Figure 5 A high-power view showing tumor cells decorated by antibodies against caldesmon, a smooth muscle marker (avidin biotin complex staining method, original ×400). CHEST  , DOI: ( /chest ) Copyright © 2009 The American College of Chest Physicians Terms and Conditions

7 Figure 6 Nuclear positive labeling by probes against EBV-encoded RNA (in situ hybridization, original ×200). CHEST  , DOI: ( /chest ) Copyright © 2009 The American College of Chest Physicians Terms and Conditions

8 Figure 7 A CT scan showing a patent left mainstem bronchus, and resolution and a decrease in the size of pulmonary nodules. CHEST  , DOI: ( /chest ) Copyright © 2009 The American College of Chest Physicians Terms and Conditions


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