PMC4153222_01
Showing Clubbing.
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Clinical examination revealed polycythemia, mild cyanosis and grade 2 clubbing (Figure 1).
Chest X-Ray showing left sided consolidation with pleural reaction and right sided diffuse pneumonitic changes.
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Chest X-ray revealed left sided consolidation with pleural reaction and right sided diffuse pneumonitic changes (Figure 2).
Thoracic HRCT showing consolidation at left mid zone with pleural collection in left base.
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Thoracic HRCT was suggestive of consolidation at left mid zone with pleural effusion at the base of the left lung (Figure 3).
Colonoscopic view showing multiple polyps
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However, colonoscopy detected multiple polyps (Figure 4) which upon histopathological examination were proved to be of hamartomatous nature without any malignant character, confirming the diagnosis of PJS.
Histopathological examination of biopsy specimen of right testis showing large cell calcifying Sertoli cell tumor
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High inguinal orchidectomy on right side was performed and histopathological examination of biopsy specimen showed large cell calcifying Sertoli cell tumor (Figure 5).