case_images: PMC9472051_01
case_images: Primary lymphedema.
case_images: gr1.jpg
case_images: PMC9472051_01_gr1.jpg
case_images: fig0001
case_images: The patient suffers from primary lymphedema of the right lower limb (Fig 1) since childhood.
case_images: a, b: Bone marrow findings.
case_images: gr2.jpg
case_images: PMC9472051_01_gr2.jpg
case_images: fig0002
case_images: The marrow finding showed dysplastic changes in the red and white rows with normal blast count (MDS with refractory cytopenia with multlineage dysplasia) (Fig 2a,b).
case_images: HRCT scan.
case_images: gr3.jpg
case_images: PMC9472051_01_gr3.jpg
case_images: fig0003
case_images: HRCT scan showed pulmonary emphysema, lung interstitium involvement and central bronchiectasia (Fig 3).