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Volume 137, Issue 4, Pages (April 2010)

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1 Volume 137, Issue 4, Pages 983-988 (April 2010)
Recurring Mouth Ulcer and Skin Rash in a Man With Abnormal Chest Radiograph  Su-Ying Low, BMBCh, FCCP, Angela M. Takano, MD, Anantham Devanand, MBBS, Joanne Ngeow, MBBS, MRCP  CHEST  Volume 137, Issue 4, Pages (April 2010) DOI: /chest Copyright © 2010 The American College of Chest Physicians Terms and Conditions

2 Figure 1 CT scan of the thorax showing the centrilobular distribution of irregularly shaped cysts (long, thin arrow), cavitated nodules (short, thick arrow), and nodules (short, thin arrow) of varying sizes (A). CT scan of the thorax showing sparing of the lung bases and costophrenic angles with no evidence of lung fibrosis (B). CHEST  , DOI: ( /chest ) Copyright © 2010 The American College of Chest Physicians Terms and Conditions

3 Figure 2 CT scan image of the left mandible demonstrating an expansile lytic lesion underlying the first, second, and third molars, which hence appear like floating teeth. CHEST  , DOI: ( /chest ) Copyright © 2010 The American College of Chest Physicians Terms and Conditions

4 Figure 3 99mTc-methylene diphosphate whole-body scan showing increased uptake in the left mandible (short, thin arrow) as well as in the head and medial cortex of the proximal shaft of the left femur (short, thick arrow). CHEST  , DOI: ( /chest ) Copyright © 2010 The American College of Chest Physicians Terms and Conditions

5 Figure 4 Section of buccal mucosa with submucosal cellular infiltration composed of histiocytes, some with convoluted, grooved, or coffee bean-like nuclei, eosinophils, and lymphoplasmacytic cells (hematoxylin-eosin, original magnification ×60). CHEST  , DOI: ( /chest ) Copyright © 2010 The American College of Chest Physicians Terms and Conditions

6 Figure 5 CD1a immunohistochemical stain of BAL shows at least 5% of cells stained positively (magnification ×60). CHEST  , DOI: ( /chest ) Copyright © 2010 The American College of Chest Physicians Terms and Conditions


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