1. Volume 140, Issue 6, Pages 1654-1658 (December 2011)
A 32-Year-Old Man With Recurrent Kidney Stones and an Abnormal Chest Radiograph 
Fayez Kheir, MD, Francesco Simeone, MD, Sean Johnston, MD, Rodney Shackelford, DO, Joseph Lasky, MD, FCCP 
CHEST 
Volume 140, Issue 6, Pages (December 2011)
DOI: /chest
Copyright © 2011 The American College of Chest Physicians Terms and Conditions

2. Figure 1
Chest radiographs showing multifocal expansile lytic bony lesions involving the ribs, humeri, scapulae, and clavicles; reabsorption of the lateral clavicles; and mid-right- and mid-left-side lung zone opacities suggesting pleural-based masses. A, Posterior to anterior view. B, Lateral view.
CHEST  , DOI: ( /chest )
Copyright © 2011 The American College of Chest Physicians Terms and Conditions

3. Figure 2
CT scan of the chest showing many expansile lytic lesions of the ribs with no intraparenchymal masses or nodules. A, Lung window. B, Mediastinal window.
CHEST  , DOI: ( /chest )
Copyright © 2011 The American College of Chest Physicians Terms and Conditions

4. Figure 3
Biopsy specimen of the iliac bone showing mononuclear cells with round to oval nuclei and sarcomatoid features consisting of numerous spindle cells in a hypercellular, storiform configuration, which is a harbinger for more-destructive tumor behavior, along with scattered multinucleated giant cells with nuclei similar to those seen in the mononuclear cells. Abundant hemosiderin deposits indicate relatively recent hemorrhage. The lesion has replaced the bone marrow and surrounds normal-appearing trabecular bone. A, Hematoxylin-eosin, original magnification ×20. B, Hematoxylin-eosin, original magnification ×40.
CHEST  , DOI: ( /chest )
Copyright © 2011 The American College of Chest Physicians Terms and Conditions

5. Figure 4
Ultrasonograph of the neck showing a heterogeneous cystic mass compatible with parathyroid adenoma.
CHEST  , DOI: ( /chest )
Copyright © 2011 The American College of Chest Physicians Terms and Conditions

6. Figure 5
Sestamibi scan showing increased radiotracer uptake in the right lower neck.
CHEST  , DOI: ( /chest )
Copyright © 2011 The American College of Chest Physicians Terms and Conditions

7. Figure 6
Biopsy specimen of the parathyroid gland showing abundant granular eosinophilic cytoplasm with mild to moderate cellular pleomorphism. Both capsular invasion and invasion into the thyroidal parenchyma are identified, indicating that the lesion is a parathyroid carcinoma. A, Hematoxylin-eosin, original magnification ×20. B, Hematoxylin-eosin, original magnification ×40.
CHEST  , DOI: ( /chest )
Copyright © 2011 The American College of Chest Physicians Terms and Conditions