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A 45-Year-Old Man With Skin Lesions and Pleural Effusion

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Presentation on theme: "A 45-Year-Old Man With Skin Lesions and Pleural Effusion"— Presentation transcript:

1 A 45-Year-Old Man With Skin Lesions and Pleural Effusion
Viswanath Vasudevan, MD, FCCP, Sasikanth Nallagatla, MD, Philip Xiao, MD, Farhad Arjomand, MD, FCCP, Ihsan Khan, MD  CHEST  Volume 138, Issue 6, Pages (December 2010) DOI: /chest Copyright © 2010 The American College of Chest Physicians Terms and Conditions

2 Figure 1 Skin lesion on abdomen.
CHEST  , DOI: ( /chest ) Copyright © 2010 The American College of Chest Physicians Terms and Conditions

3 Figure 2 Posteroanterior chest radiograph showing massive left pleural effusion with mediastinal shift to the right. CHEST  , DOI: ( /chest ) Copyright © 2010 The American College of Chest Physicians Terms and Conditions

4 Figure 3 CT scan of the chest showing extremely large left pleural effusion occupying the entire left hemithorax with complete collapse of the left-side lung. CHEST  , DOI: ( /chest ) Copyright © 2010 The American College of Chest Physicians Terms and Conditions

5 Figure 4 Skin biopsy specimen. A, Skin biopsy specimen of small-to-intermediate-sized malignant lymphoid infiltrate in the dermis and subcutaneous tissue (hemotoxylin and eosin stain, original magnification × 10). B, Tumor cells positive for CD3, CD4, and CD5 (immunohistochemic stain, original magnification × 20). C, Lymphocytes are positive for CD8 and CD7; CD20, myeloperoxidase, CD68, and CD30 are negative (immunohistochemic stain, original magnification × 20). CHEST  , DOI: ( /chest ) Copyright © 2010 The American College of Chest Physicians Terms and Conditions


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