Figures & data
Figure 1. Axial computed tomographic (CT) imaging of chest revealed multiple enlarged mediastinal lymph nodes (arrows), measuring up to 1.1 × 1.8-cm at the right lower paratracheal and paraesophageal region.
Figure 2. CT abdomen pelvis without contrast showed moderate ascites, nodularity of the peritoneum within the anterior lower abdomen and upper pelvis.
Figure 3. Peritoneal nodularity on exploratory laparotomy.
Figure 4. Biopsy shows simplification of the epithelial lining of renal tubules. Some renal tubules contain debris (arrowhead). Hematoxylin and eosin, original magnification ×200.
Figure 5. Image from plastic-embedded tissue submitted for electron microscopy shows damaged renal tubule with extravasation of Tamm–Horsfall protein (arrow). Methylene blue, original magnification ×200.
Figure 6. Severe interstitial scarring with accompanying chronic inflammatory infiltrate. Gomori's Trichrome, original magnification ×100.
