PMC5107221_01
CT of chest with contrast: coronal and axial views showing fibronodular infiltrates with consolidation in the right middle and lower lobes and left upper and lower lobes.
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A repeat CT scan of the chest showed significant worsening of fibronodular infiltrates with consolidation in the right middle and lower lobes and left upper and lower lobes with bilateral axillary, supraclavicular, mediastinal, and hilar lymphadenopathy (Figure 1).
Right lower lobe bronchus showing violaceous raised mucosal lesions.
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Subsequent bronchoscopy revealed erythematous lesions on the proximal and distal part of the trachea and right middle lobe (Figure 2).
(a) Atypical spindle cell proliferation with slit-like vascular spaces, lymphoplasmacytic infiltrate, and extravasated red blood cells. (b) Nuclear HHV8 immunostain is expressed in the atypical spindle cell proliferation.
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Transbronchial biopsy was done and pathology was positive for atypical spindle cell proliferation with slit-like vascular spaces, lymphoplasmacytic infiltrate, and extravasated red blood cells (Figure 3).