PMC5865275_01
Pleural fluid cytology, PAP stain (x40): mesothelial cells with moderate number of lymphocytes admixed with macrophages and polymorphonuclear cells. Occasional loose aggregates of histiocytes.
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Pleural fluid cytology showed loose aggregates of histiocytes and poorly formed granuloma (Figure 1).
Contrast-enhanced CT thorax: large loculated right-sided pleural effusion. Small left-sided effusion. Bilateral axillary lymphadenopathy. Bulky left hilum.
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Chest radiography (Figure 2) demonstrated moderate to large volume right-sided pleural effusion.
PA erect chest radiograph: large volume right-sided pleural effusion with atelectasis of right mid and lower lobes.
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Contrast-enhanced computed tomography (CT) scan of thorax showed large right pleural effusion, bilateral axillary lymphadenopathy, and a bulky left hilum (Figure 3).