PMC5610866_01
Chest CT imaging. Coronal view of noncontrast chest CT scan showing hyperattenuated pericardium (arrows). Axial chest CT scan showing the same diffusely thickened pericardium. Enlarged mediastinal lymph node (arrowhead). Note the solitary nodule in the Left lower lobe (encircled).
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fig1
Visualized were multiple enlarged mediastinal and subcarinal lymph nodes and a 1.2 cm pulmonary nodule in the left lower lobe (Figure 1).
Histologic images. H&E stain of the atrial appendage showing epithelioid histiocytes (arrows), lymphocytes, and caseating granuloma (high power view of hematoxylin-eosin stain). Fungal elements (arrows) within central necrosis (Grocott methenamine silver stain, 400x magnification).
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fig2
No malignant cells were identified (Figure 2).