PMC7388167_01
Coronal and axial sections of CT scan of chest with intravenous contrast showing thickened pericardium with pericardial effusion and bilateral pleural effusion.
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On persistence of symptoms, a Computed Tomography (CT) scan of his chest was also done which revealed a thickened pericardium harbouring a moderate pericardial effusion and extensive mediastinal, cervical and axillary lymphadenopathy (Fig. 1).
Low magnification showing pericardial tissue infiltration by the neoplastic lesion (arrow) (H&E; 2X). Inset shows large sized neoplastic cells arranged in sheets with epitheliod morphology (H&E; 40X).
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His histopathology showed ALCL with positive markers for Alk-protein, CD 43 and CD 30 (Ki-1) (Fig. 2, Fig. 3).