Focal organizing pneumonia with reversed halo sign

Friday, 03 Aug 2007 14:34:13 GMT

Several months after the cessation of chemotherapy for chronic
lymphocytic leukemia (CLL), a 54-year-old man presented with
enlarged axillary lymph nodes. Since the diagnosis of CLL 5 years
earlier, the patient had experienced frequent night sweats but no
fevers, chills, dyspnea, or cough. He had a 30 pack-year smoking
history. </<span class="end-tag" />P><
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>On physical examination, the patient&
rsquo;

s vital signs were within normal limits. Bilateral, palpable lymph
nodes were found in the neck, axilla, and inguinal areas. The
breath sounds in the right upper lung were decreased. The
laboratory results included an elevated white blood cell count of
15,000/mm<
Sup

>3 </<span class="end-tag" />Sup>(37.6% neutrophils,
52.9% lymphocytes, 2.8% basophils) and a high erythrocyte
sedimentation rate of 33 mm/hr. Chest radiography (Figure 1) and
chest computed tomography (CT) were performed (Figure 2).
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Focal organizing pneumonia with reversed halo sign