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A 20-Year-Old Man With Fever, Chest Pain, and Lung Nodules

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Presentation on theme: "A 20-Year-Old Man With Fever, Chest Pain, and Lung Nodules"— Presentation transcript:

1 A 20-Year-Old Man With Fever, Chest Pain, and Lung Nodules
Jose Angelo A. De Dios, MD, Adnan A. Javaid, MD, Thalia Mesologites, MD, Bimalin Lahiri, MD, FCCP  CHEST  Volume 140, Issue 5, Pages (November 2011) DOI: /chest Copyright © 2011 The American College of Chest Physicians Terms and Conditions

2 Figure 1 A, Chest CT scan showing bibasilar nodules. B, Another view of the chest CT scan, showing ill-defined nodules at the bases. CHEST  , DOI: ( /chest ) Copyright © 2011 The American College of Chest Physicians Terms and Conditions

3 Figure 2 Low-power magnification showing an area of loosely organized necrotizing granulomatous inflammation adjacent to normal lung (hematoxylin and eosin, original magnification ×10). CHEST  , DOI: ( /chest ) Copyright © 2011 The American College of Chest Physicians Terms and Conditions

4 Figure 3 Palisading histiocytes surround an area of suppurative necrosis (seen on the right side of the image). Inflammatory cells (left side) surround the histiocytes (hematoxylin and eosin, original magnification ×20). CHEST  , DOI: ( /chest ) Copyright © 2011 The American College of Chest Physicians Terms and Conditions

5 Figure 4 Giant cells are seen in the area of inflammatory reaction surrounding the necrosis (hematoxylin and eosin, original magnification ×20). CHEST  , DOI: ( /chest ) Copyright © 2011 The American College of Chest Physicians Terms and Conditions


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