PMC3970345_01
CT scan of chest with Pleuropericardial effusion. CT scan showing large Pleuropericardial effusion.
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fig1
(Figure 1) It showed recurrent small pericardial effusion and a large left-sided pleural effusion.
Pathology with H and E stain. Diffuse large B-cell lymphoma (DLBCL), pleural cavity (H&E, (a) 100x, (b) 400x). Aggregates of large atypical lymphocytes with irregular nuclei having uneven chromatin and small to large nucleoli are evident in a necrotic background. Some cells show multilobulated nuclei (arrows). Mitosis and apoptotic bodies are conspicuous.
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fig2
See Figure 2; immunohistochemical stains were positive for CD-20, CD-10, BCL-2, and kappa restriction and showed a high proliferation index.