case_images: PMC5902098_01
case_images: (a) Lung lesion histology (H&E, 200x); (b) cytokeratin-7 immunohistochemical stain; (c) immunohistochemical stain; (d) CA19-9 immunohistochemical stain (200x for all IHC stains).
case_images: CRIONM2018-6314392.001.jpg
case_images: PMC5902098_01_CRIONM2018-6314392.001.jpg
case_images: fig1
case_images: The cytomorphologic results were consistent with a metastatic process of pancreatic origin (Figure 1). The serum CA19-9 was elevated at 737 U/mL.
case_images: Chest CT showing scattered ground glass opacities and bilateral pleural effusions.
case_images: CRIONM2018-6314392.002.jpg
case_images: PMC5902098_01_CRIONM2018-6314392.002.jpg
case_images: fig2
case_images: Axillary and mediastinal lymphadenopathy and hepatic metastases were unchanged from 10 days priorly (Figure 2).
case_images: Pleural fluid involved by pleomorphic tumor cells. (a) Wright-Giemsa stain; (b) Romanowsky stain; (c) Papanicolaou stain, 400x.
case_images: CRIONM2018-6314392.003.jpg
case_images: PMC5902098_01_CRIONM2018-6314392.003.jpg
case_images: fig3
case_images: The pleural fluid showed vacuolated tumor cells with hyperchromatic irregular nuclei with anisonucleosis and prominent nucleoli consistent with adenocarcinoma (Figure 3).
case_images: Chest CT showing diffuse ground glass opacities and new interlobular interstitial thickening.
case_images: CRIONM2018-6314392.004.jpg
case_images: PMC5902098_01_CRIONM2018-6314392.004.jpg
case_images: fig4
case_images: There was no change in the extensive thoracic and abdominal metastatic lymphadenopathy (Figure 4).