PMC4992389_01
Chest X-ray showing Mediastinal enlargement
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Chest X-ray showed Mediastinal enlargement suggestive of mediastinal adenomegaly with calcifications (Figure 1).
Mediastinal lymph nodes in Barety space and bilateral hilar lymphadenopathy on chest CT
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There were changes in the lung parenchyma described as ground glass infiltrates with pleural nodules, pleural and pericardial effusions (Figure 2).
Congo red stain: amyloid deposits around the vessels and interlobular ducts
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Biopsy of the salivary glands showed chronic sialadenitis the special Congo Redstain revealed amyloid deposits around the vessels and interlobular ducts (Figure 3) which are birefringent amyloid deposits under polarized light (Figure 4).
Irefringent amyloid deposits under polarized light
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Biopsy of the salivary glands showed chronic sialadenitis the special Congo Redstain revealed amyloid deposits around the vessels and interlobular ducts (Figure 3) which are birefringent amyloid deposits under polarized light (Figure 4).