1. 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: /j.chest
Copyright © 2018 American College of Chest Physicians Terms and Conditions

2. Figure 1
Chest radiograph showing diffuse bilateral pulmonary infiltrates with right pleural effusion.
CHEST  , e141-e144DOI: ( /j.chest )
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3. Figure 2
CT scan of the chest revealed bilateral pleural effusions, larger on the right, with bony destruction of the right ninth rib.
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Copyright © 2018 American College of Chest Physicians Terms and Conditions

4. 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  , e141-e144DOI: ( /j.chest )
Copyright © 2018 American College of Chest Physicians Terms and Conditions