case_images: PMC10769505_01
case_images: CT findings. a Right abdominal wall 6.3 x 5.5 x 5.5 cm peripherally enhancing mass with central low-attenuation. b Left abdominal wall 5.6 x 3.4 x 12.2 cm enhancing mass. c Left lower lobe 2 cm pulmonary nodule.
case_images: cro-2024-0017-0001-535600_F01.jpg
case_images: PMC10769505_01_cro-2024-0017-0001-535600_F01.jpg
case_images: F1
case_images: CT abdomen/pelvis with contrast (Fig. 1) showed distension of the gallbladder as well as intrahepatic and extrahepatic biliary ductal dilation and luminal filling defects in the common bile duct related to 1.5 cm masses versus stones in both the mid-common bile duct and near the ampulla.
case_images: MRI left knee with anteromedial 1.8 x 3.9 cm enhancing fluid collection concerning for abscess.
case_images: cro-2024-0017-0001-535600_F02.jpg
case_images: PMC10769505_01_cro-2024-0017-0001-535600_F02.jpg
case_images: F2
case_images: MRI of the left knee to rule out left knee abscess/septic arthritis versus Baker's cyst was performed (Fig. 2).
case_images: Hematoxylin and eosin (H&E) and immunohistochemical stains of left abdominal sidewall mass. The H&E stains (a-c in order are at x40, x60, and x100 magnifications) show large pleomorphic nuclei with irregular contour, immature chromatin, and prominent nucleoli. The immunohistochemical stains (at x40 magnification) shown in figures (d-i) in order are Ki-67 (high-proliferative index), CD43 (positive), CD45 (positive), CD123 (weak and focal positivity), CD33 (positive), and CD14 (weak positivity).
case_images: cro-2024-0017-0001-535600_F03.jpg
case_images: PMC10769505_01_cro-2024-0017-0001-535600_F03.jpg
case_images: F3
case_images: TCL1 (Fig. 3, 4). The patient's additional family arrived, all IV's were turned off, and the patient unfortunately passed away. The clinical course timeline summary can be seen in Figure 5.
case_images: Immunohistochemistry of left abdominal sidewall lesion core biopsy.
case_images: cro-2024-0017-0001-535600_F04.jpg
case_images: PMC10769505_01_cro-2024-0017-0001-535600_F04.jpg
case_images: F4
case_images: TCL1 (Fig. 3, 4). The patient's additional family arrived, all IV's were turned off, and the patient unfortunately passed away. The clinical course timeline summary can be seen in Figure 5.
case_images: Clinical course timeline.
case_images: cro-2024-0017-0001-535600_F05.jpg
case_images: PMC10769505_01_cro-2024-0017-0001-535600_F05.jpg
case_images: F5
case_images: TCL1 (Fig. 3, 4). The patient's additional family arrived, all IV's were turned off, and the patient unfortunately passed away. The clinical course timeline summary can be seen in Figure 5.