PMC8604466_01
Computer tomography angiography of the chest demonstrating bilateral segmental lower lobe pulmonary embolism
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Computer tomography (CT) angiography of the chest revealed bilateral segmental lower lobe PE with no evidence of right heart strain (Figure 1).
Computer tomography abdomen revealing wedge-shaped defects of the spleen consistent with infarcts
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CT abdomen revealed wedge-shaped defects of the spleen consistent with infarcts (Figure 2), as well as foci of renal peripheral hypo-enhancement bilaterally which were suspicious for small infarcts and thus embolic phenomenon.
a.Bone marrow aspirate smear showing promyelocytes with ovoid to monocytoid nuclei, abundant cytoplasm with numerous pink, red or purple granules that obscure the nuclear outline. the cells contain numerous intertwining auer rods (arrows). b. The bone marrow biopsy showing hypercellularity with aggregates of promyelocytes (x200). c. High power image showing promyelocytes with relatively abundant cytoplasm and convoluted nuclei that are often eccentrically located (x400)
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The patient underwent a bone marrow biopsy which demonstrated diffuse infiltration of abnormal promyelocytes (Figure 3(a-c)).