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EW: A 51-year-old Caucasian male smoker (>30 pack-year) was referred due to generalised lymphadenopathy and disseminated, apical accentuated pulmonary nodules (up to 12 mm) on CT scans that demonstrated an elevated 18F-FDG uptake. There was a history of childhood pulmonary tuberculosis with ongoing positivity in the interferon-gamma release assay. The patient had night sweats and frequent coughs.
Lymph node and bone marrow biopsies demonstrated infiltration by a small cell lymphocytic lymphoma-Non Hodgkin Lymphoma (SCL-NHL) with chronic lymphocytic leukemia (CLL-like) immunophenotype (Matutes score 4/5) staged as Ann Arbor IV B disease (figure 1A,B).
Contributors Conception and design: EW, WW and JL-R. Development of methodology: EW, WW and JL-R. Acquisition of data: EW, WW and JL-R. Analysis and interpretation of data: EW, WW and JL-R. Writing, review and/or revision of the manuscript: EW, WW andJL-R. Study supervision: EW, WW and JL-R.
Funding This work was supported by the Krebsforschungsverein Tirol, a registered charity.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
Patient consent for publication Obtained.
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