Solve this exciting clinical case specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge. Case presentation A 63-year-old female presented after an episode of transient chest pain.
The patient had a history of chronic fatigue and had required a transfusion of two units of packed red blood cells during childbirth. She had jaundice intermittently, which had never been evaluated. Physical examination Mild pallor, icterus, and palpable spleen (6 cm below the left costal margin) Chest X-ray (Image 1) Mediastinal widening with well-rounded margins Lumpy nodular opacities Obliteration of cardiac shadow Contrast-enhanced CT (Image 2) Multiple paravertebral masses Guided fine-needle aspiration cytology test Extramedullary hematopoiesis Hemogram test Hemoglobin - 7.5 g/dL Mean corpuscular volume - 61 fL…
