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Volume 155, Issue 2, Pages e51-e54 (February 2019)

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1 Volume 155, Issue 2, Pages e51-e54 (February 2019)
A 45-Year-Old Woman With Multiple Pulmonary Nodules and Sjögren Syndrome  Jonathan Z. Xian, MD, Sujith V. Cherian, MD, Modupe Idowu, MD, Lei Chen, MD, Rosa M. Estrada-Y-Martin, MD  CHEST  Volume 155, Issue 2, Pages e51-e54 (February 2019) DOI: /j.chest Copyright © 2018 American College of Chest Physicians Terms and Conditions

2 Figure 1 A chest CT scan revealed a right middle lobe nodule that had increased in size to a 3.5- × 3.5-cm mass and a new left lower lobe mass which measured 3.4 × 3.1 cm along with multiple peripheral nodules (not all pictured). CHEST  , e51-e54DOI: ( /j.chest ) Copyright © 2018 American College of Chest Physicians Terms and Conditions

3 Figure 2 Transbronchial biopsy of the right middle lobe mass with hematoxylin and eosin staining revealed dense lymphoid/plasmacytic infiltrate with multiple large discrete pink amorphous material or acellular deposits (original magnification ×100). CHEST  , e51-e54DOI: ( /j.chest ) Copyright © 2018 American College of Chest Physicians Terms and Conditions

4 Figure 3 Transbronchial biopsy of right middle lobe mass with Congo red staining revealed apple-green birefringence under a polarized microscope (original magnification ×100). CHEST  , e51-e54DOI: ( /j.chest ) Copyright © 2018 American College of Chest Physicians Terms and Conditions


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