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British Journal of Radiology (2007) 80, e131-e133
© 2007 British Institute of Radiology
doi: 10.1259/bjr/52539691
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Primary localized amyloidosis manifested as supraclavicular and mediastinal lymphadenopathy

H S Yong, MD 1 O H Woo, MD 1 J W Lee, MD S-I Suh, MD 1 Y-W Oh, MD 1 and E-Y Kang, MD 1

Departments of 1 Radiology and 2 Pathology, College of Medicine, Korea University, Korea University Guro Hospital, 97 Guro-dong, Guro-gu, Seoul, 152-703, Korea


Figure 1
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  		Figure 1. (a) Routine chest radiograph shows a lobulated bulging contour in the right paratracheal area and cardiomegaly. (b) Thoracic CT scan at the level of the pulmonary trunk reveals a homogeneous low attenuated lymphadenopathy containing stippled calcification in subcarinal region. (c) Coronal reformatted image shows extensive, contiguous, homogeneous and low attenuated lymphadenopathy from the right supraclavicular area to mediastinum. (d) Supraclavicular lymph node biopsy specimen shows a homogeneous eosinophilic compound with aggregates of lymphoid cells after Congo red stain. (e) Under polarized light, homogeneous eosinophilic compound and aggregates of lymphoid cells exhibit apple-green birefringence.

 




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