PMC5496584_01
T2-weighted magnetic resonance cholangiopancreatography showing splenomegaly with no evidence of cirrhosis and no biliary system abnormalities.
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F1
Magnetic resonance imaging and T2-weighted magnetic resonance cholangiopancreatography revealed splenomegaly with no evidence of cirrhosis or biliary abnormality (Figure 1).
Liver parenchyma showing extensive neoplastic plasma cell infiltration and cholestasis (hematoxylin and eosin stain, 400x).
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F2
Liver biopsy revealed extensive involvement of plasma cell neoplasm and surrounding liver parenchyma with minimal steatosis and no evidence of fibrosis (Figure 2).
Positron emission tomography-computed tomography scan demonstrating a heterogenous fluorodeoxyglucose (FDG)-avid liver, an intensely FDG-avid spleen, and no lymph node involvement. Bone marrow of the axial and proximal appendicular skeleton is diffusely involved.
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F3
Bone marrow of the axial and proximal appendicular skeleton was diffusely involved, indicating stage III plasmablastic disease (Figure 3).