case_images: PMC6764030_01
case_images: Chest X-ray shows unilateral opacification in right lower lobe.
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case_images: Chest X-ray (Figure 1) and computed tomography scan (Figure 2) showed right-sided pleural effusion; thoracentesis revealed transudative fluid.
case_images: Computed tomography scan of chest showed findings consistent with right-sided
  pleural effusion.
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case_images: Chest X-ray (Figure 1) and computed tomography scan (Figure 2) showed right-sided pleural effusion; thoracentesis revealed transudative fluid.
case_images: Enteroscopy reveals grade 1 esophageal varices.
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case_images: To evaluate the anemia and melena, the patient underwent colonoscopy and enteroscopy revealing ileal and colonic arteriovenous malformations that were treated and grade 1 esophageal varices (Figure 3).
case_images: In the distal esophagus, there were 2 columns of grade 2 esophageal varices
  (A), one of which had a purple blush to it, suggestive of high-risk
  stigmata. The varices were banded (B). Colonoscopy showed early rectal
  varices (C).
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case_images: Repeat upper and lower endoscopy revealed grade 2 distal esophageal varices that were banded, portal hypertensive gastropathy, and rectal varices, suspicious for worsening PH (Figure 4).
case_images: Home medication list.
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case_images: Medications were reviewed, and no new medications had been started or identified as hepatotoxic (Figure 5).
case_images: Liver biopsy with normal liver tissue, no evidence of congestive hepatopathy
  or cirrhosis.
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case_images: Liver biopsy revealed normal liver tissue without evidence of congestive hepatopathy or cirrhosis (Figure 6).