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Case Reports
. 2023 Dec;19(4):230156.
doi: 10.1183/20734735.0156-2023. Epub 2024 Feb 13.

A pleural based mass in a post-partum woman

Padraic C Ridge  1 , Daphne Chen-Maxwell  2 , Caroline Brodie  2 , Anne Marie Quinn  2 , John Bruzzi  3 , David Breen  1
Affiliations
Case Reports

A pleural based mass in a post-partum woman

Padraic C Ridge et al. Breathe (Sheff). 2023 Dec.

Abstract

Can you diagnose this case of a 27-year-old female who presented 1-week post-partum with an incidental finding of intrathoracic masses and probable hilar lymphadenopathy? https://bit.ly/3S3ejVK.

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Conflict of interest statement

Conflict of interest: None declared.

Figures

FIGURE 1
FIGURE 1
a) CT axial view. b) CT coronal view.
FIGURE 2
FIGURE 2
CT axial view: hilar abnormality (H) at the orifice of the left lower lobe. Possibly accessible with endobronchial ultrasound transbronchial needle aspiration.
FIGURE 3
FIGURE 3
a) Haematoxylin and eosin staining (5× magnification) of the core biopsy of left pleura, which shows lymphoid tissue bearing large follicles with central reactive germinal centres and surrounding large marginal zones within background sinusoids. b) Immunohistochemistry (IHC) with CD20 highlights the B-cells within the lymphoid follicles. c) IHC with CD5 highlights the intervening T-cell zones, similar to that seen with CD3. Scale bar=200 μm.
FIGURE 4
FIGURE 4
Technetium-99m heat-damaged erythrocyte scintigraphy (planar views). a) Anterior and b) posterior views showing erythrocyte uptake in ectopic splenic tissue (arrows). Note the poor anatomical detail based on these images.
FIGURE 5
FIGURE 5
Chest radiographs in a) 2016 and b) 2019. Left upper lobe and hilar based masses are unchanged over 3 years of follow-up.
See this image and copyright information in PMC

References

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