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Figure 1. A 54-year-old man who had had stage IVA follicular small-cleaved-cell lymphoma for 10 years was admitted with a 3-week history of progressive cough, shortness of breath, fatigue, and night sweats. When his disease was first discovered he had been treated with prednisone, doxorubicin, cyclophosphamide, and etoposide, followed by cytarabine, bleomycin, vincristine, and methotrexate with leucovorin rescue. He subsequently received intermittent courses of cyclophosphamide and prednisone. The chest film revealed a stable right pleural effusion and a new, ill-defined left suprahilar mass. A staging computed tomographic scan showed a pleural effusion with a fluidfluid interface (arrowhead) that was . . . [Full Text of this Article] |