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BMJ Case Reports 2012; doi:10.1136/bcr-2012-006990
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Non-Hodgkins lymphoma in a patient with tracheal bronchus who presented with atypical pneumonia: a diagnostic dilemma

  1. Franco Sogliani4
  1. 1Department of Cardiothoracic Surgery, Northwestern Deanery, Manchester, UK
  2. 2Department of Respiratory Diseases, Blackpool Victoria Hospital, Blackpool, UK
  3. 3Department of Neuropathology, Lancashire Teaching Hospitals, Preston, UK
  4. 4Department of Cardiothoracic Surgery, Blackpool Victoria Hospital, Blackpool, UK
  1. Correspondence to Mr Nnamdi Nwaejike, justnnamdi{at}aol.com

Description

A 47-year-old unemployed man presented with a 2-week history of shortness of breath, dry cough and fever despite normal inflammatory markers and negative blood cultures. There was no weight loss or night sweats. He was a non-smoker and had no other medical history. HIV testing and tumour markers were negative.

Chest x-ray (figure 1A) showed what seemed to be a dense consolidation in the right mid-zone and lower zone. This was confirmed on CT (figure 1F), so wedge biopsies of the right middle and right lower lobes were taken via video-assisted thoracoscopy (VATS). There were no palpable lymph nodes and no evidence of significant mediastinal …

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