case_images: PMC2739437_01
case_images: (a) Chest X-ray with interstitial pattern; (b) thoracic high-resolution CT with septal thickening and small left pleural effusion; (c) small nodule in RLL; (d) disappearance of pleural effusion and appearance a vertebral metastasis after 6 cycles of chemotherapy.
case_images: CRM2009-598741.001.jpg
case_images: PMC2739437_01_CRM2009-598741.001.jpg
case_images: fig1
case_images: A small left pleural and pericardial effusions were also evident together with small (1 cm) prevascular and para- tracheal adenopathies (Figure 1). After a partial response with disappearance of the pleural effusion, the malignant process progressed, with bone (Figure 1) and brain metastasis and died 11 months after the initiation of the chemotherapy.
case_images: (a) Lymphovascular invasion of lung tissue by adenocarcinoma cells H&Ex200; (b) adenocarcinoma cell in transudative pleural effusion. Cell cluster showing variation in nuclear size, prominent nucleoli and vacuolated cytoplasms. Papanicolaou stainx400.
case_images: CRM2009-598741.002.jpg
case_images: PMC2739437_01_CRM2009-598741.002.jpg
case_images: fig2
case_images: An RLL transbronchial lung biopsy showed lymphatic permeation by an adenocarcinoma (Figure 2). Pleural fluid obtained by a left thoracentesis the day before the initiation of that therapy was then an exudate (Table 1), while pleural cytology kept being positive for adenocarcinoma cells (Figure 2).