PMC8826092_01
Chest Tomography showing subtle diffuse ground-glass (blue arrow) and multiple tree-in-bud opacities (red arrow) and enlarged right ventricle and right atrium.
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Chest tomography with pulmonary angiogram (CTPA) revealed bilateral patchy ground-glass opacities, centrilobular "tree-in-bud" nodules, enlarged pulmonary artery, and enlarged RV, but no pulmonary embolism, Figure 1.
H and E stain showing highly atypical cells causing fibroblastic intimal hypertrophy in the pulmonary vessels, consistent with pulmonary tumor thrombotic microangiopathy.
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Autopsy showed poorly differentiated gastric adenocarcinoma, PTTM with direct tumor invasion to esophagus and surrounding gastric soft tissue Figures 2 and 3.
H and E stain showing highly atypical cells invading muscularis externa in the gastric wall.
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Autopsy showed poorly differentiated gastric adenocarcinoma, PTTM with direct tumor invasion to esophagus and surrounding gastric soft tissue Figures 2 and 3.