PMC5906769_01
Chest x-ray: Right lower lobe consolidation with right-side pleural effusion.
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Chest x-ray (Figure 1) revealed right lower lobe consolidation and pleural effusion.
Chest x-ray: No evidence of active lung disease.
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In comparison, an old chest x-ray performed 3 years ago showed no active lung disease (Figure 2).
(a) Chest CT scan-axial view. (b) Chest CT scan-coronal view. (a&b). Chest CT scan: Moderate right pleural effusion and right lower lung Consolidation.
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Computerized tomography of the chest without IV contrast (Figure 3) on second day of hospital stay revealed moderate right-sided pleural effusion and right lower lobe consolidation.
(a) Chest CT scan-axial view. (b) Chest CT scan-coronal view. (a&b) Chest CT scan: No significant change in complete consolidation of the right lower lobe as compared to previous Chest CT scan and moderate right-side pleural effusion.
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On the second hospital admission vital signs were stable, chest CT scan (Figure 4) revealed no significant change in complete consolidation of right lower lobe as compared to previous chest CT scan there was a moderate right-sided pleural effusion and new right upper lobe infiltrate.
Plural fluid cytology: Plasmacytoid lymphocytes.
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Pleural fluid cytology (Figure 5) with immunophenotypic flow cytometry revealed plasmacytoid lymphocytes.