Date of Presentation:5/11/2016

Attending pathologist: Adrian Suarez, M.D.

Presented by: Adrian Suarez, M.D.

Prepared by: Jesus Adrian Chavez, M.D.

Organ:Pericardial Fluid

HISTORY:

A male in his 50s presented with shortness of breath for 3 days as well as sudden onset of abdominal pain and nausea 4 days prior to admission. Past medical history includes Diabetes Mellitus type II, HIV, and Castleman disease. Echocardiogram demonstrated a large pericardial effusion with signs of right ventricle diastolic collapse. Physical exam showed distended neck veins and tachycardia. A pericardial tap was performed.

What is your diagnosis?

  1. Systemic non-Hodking lymphoma (NHL)
  2. Large B cell lymphoma
  3. Plasmablastic lymphoma
  4. Primary effusion lymphoma (PEL)
  5. Plasmablastic plasma cell myeloma
Primary effusion lymphoma (PEL)