case_images: PMC6681596_01
case_images: Abdominal striae.
case_images: CRIE2019-1989260.001.jpg
case_images: PMC6681596_01_CRIE2019-1989260.001.jpg
case_images: fig1
case_images: Her abdomen was distended, nontender, with thick purple striae (Figure 1).
case_images: Chest X-Ray showing 2 left upper lobe lung masses.
case_images: CRIE2019-1989260.002.jpg
case_images: PMC6681596_01_CRIE2019-1989260.002.jpg
case_images: fig2
case_images: Given our high clinical suspicion for EAS, we performed a chest x-ray, which identified two left upper lobe lung masses (Figure 2).
case_images: Neuroendocrine lung tumor biopsy staining positive for synaptophysin.
case_images: CRIE2019-1989260.003.jpg
case_images: PMC6681596_01_CRIE2019-1989260.003.jpg
case_images: fig3
case_images: A computed tomography (CT) guided lung biopsy confirmed well-differentiated NET (Figure 3).
case_images: Commuted tomography showing 2 left upper lobe lung masses.
case_images: CRIE2019-1989260.004.jpg
case_images: PMC6681596_01_CRIE2019-1989260.004.jpg
case_images: fig4
case_images: The lung biopsy stained positive for synaptophysin, chromogranin, and pancytokeratin (Figure 4).
case_images: Neuroendocrine lung tumor biopsy with <2% Ki-67 proliferation index.
case_images: CRIE2019-1989260.005.jpg
case_images: PMC6681596_01_CRIE2019-1989260.005.jpg
case_images: fig5
case_images: The Ki-67 proliferation index was low <2% (Figure 5).
case_images: Positron emission tomography/commuted tomography showing 2 left upper lobe lung masses.
case_images: CRIE2019-1989260.006.jpg
case_images: PMC6681596_01_CRIE2019-1989260.006.jpg
case_images: fig6
case_images: Positron emission tomography showed hypermetabolic activity within the lung masses, left hilum, and mediastinal lymph nodes (Figure 6).
case_images: Surgical specimen of one of the resected lung masses.
case_images: CRIE2019-1989260.007.jpg
case_images: PMC6681596_01_CRIE2019-1989260.007.jpg
case_images: fig7
case_images: She underwent wedge resection of her left upper lobe and was treated with a steroid taper perioperatively (Figure 7).