case_images: PMC8826092_01
case_images: Chest Tomography showing subtle diffuse ground-glass (blue arrow) and multiple tree-in-bud opacities (red arrow) and enlarged right ventricle and right atrium.
case_images: 10.1177_2050313X20969044-fig1.jpg
case_images: PMC8826092_01_10.1177_2050313X20969044-fig1.jpg
case_images: fig1-2050313X20969044
case_images: Chest tomography with pulmonary angiogram (CTPA) revealed bilateral patchy ground-glass opacities, centrilobular "tree-in-bud" nodules, enlarged pulmonary artery, and enlarged RV, but no pulmonary embolism, Figure 1.
case_images: H and E stain showing highly atypical cells causing fibroblastic intimal hypertrophy in the pulmonary vessels, consistent with pulmonary tumor thrombotic microangiopathy.
case_images: 10.1177_2050313X20969044-fig2.jpg
case_images: PMC8826092_01_10.1177_2050313X20969044-fig2.jpg
case_images: fig2-2050313X20969044
case_images: Autopsy showed poorly differentiated gastric adenocarcinoma, PTTM with direct tumor invasion to esophagus and surrounding gastric soft tissue Figures 2 and 3.
case_images: H and E stain showing highly atypical cells invading muscularis externa in the gastric wall.
case_images: 10.1177_2050313X20969044-fig3.jpg
case_images: PMC8826092_01_10.1177_2050313X20969044-fig3.jpg
case_images: fig3-2050313X20969044
case_images: Autopsy showed poorly differentiated gastric adenocarcinoma, PTTM with direct tumor invasion to esophagus and surrounding gastric soft tissue Figures 2 and 3.