Case 17: A 62-Year-Old Man With Dyspnea and Chest Discomfort for 1 Month
- Affiliations
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- 1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 2Department of Internal Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 3Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 4Division of Pulmonology and Critical Care Medicine, Department of Internal Medicine, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- KMID: 2549170
- DOI: http://doi.org/10.3346/jkms.2023.38.e416
Figure
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Fig. 1 Chest X-ray and chest computed tomography image. (A) Chest X-ray taken at the outpatient department before admission. (B-D) Chest computed tomography taken after the right pleural drainage by pleural catheter, showing mild emphysema at both upper lungs (B), a few mediastinal lymph node enlargement (arrow) (C), subpleural reticular opacities at both lower lungs, small residual pleural effusion, and drainage catheter (arrow) at right lower lung (D).
Fig. 2 Video-assisted thoracoscopic pleural biopsy and pathological findings. (A) Image of biopsy procedure at right pleura. (B, C) Histopathological findings showing fibroblasts and inflammatory cells, H&E stained. Immunohistochemical staining of immunoglobulin G (D), immunoglobulin G4 (E), and CD38 positive plasma cells (F).H&E = haemotoxylin and eosin.
Reference
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