PMC5680998_01
Anterior mediastinal-pulmonary opacity associated with a right pleural
PAMJ-28-9-g001.jpg
PMC5680998_01_PAMJ-28-9-g001.jpg
f0001
Chest X ray showed a heterogeneous pulmonary and mediastinal opacity associated to a pleural effusion (Figure 1).
Complex anterior mediastinal lymph-tumor necrotic, alveolar condensations accented right and right pleural effusion
PAMJ-28-9-g002.jpg
PMC5680998_01_PAMJ-28-9-g002.jpg
f0002
The chest CT scan showed mediastinal lymphadenopathies, enlarged axillary lymph nodes in addition to pulmonary nodules and alveolar condensation (Figure 2).
White granuloma at the entrance of the right upper lobe bronchus
PAMJ-28-9-g003.jpg
PMC5680998_01_PAMJ-28-9-g003.jpg
f0003
The bronchoscopy showed four white lesions at the entrance of the middle lobe bronchus and the right upper lobe bronchus (Figure 3).
Immunohistochemistry; cytoplasmic expression with tumor cells perigolgien strengthening anti CD15 Ab (x40)
PAMJ-28-9-g004.jpg
PMC5680998_01_PAMJ-28-9-g004.jpg
f0004
A pathology study with immunohistochemistry of the biopsies was performed and concluded to an endobronchial localization of Hodgkin's lymphoma (Figure 4).