A 27-year-old female presented with a three-week history of | Figure 1

Case Summary

A 27-year-old female presented with a three-week history of flu-like symptoms including sore throat, myalgia and insidious nasal congestion. The patient had no significant medical history.

After hospital admission for a 103.1° F temperature, she had a CT/PE, which was positive for multifocal centrilobular ground-glass nodules, concentric subglottic tracheal narrowing and splenomegaly. She underwent an extensive rheumatologic, hematologic and infectious workup that was negative.

The pathology revealed NK/T-Cell lymphoma with PET/CT confirming nasopharyngeal and laryngeal involvement but sparing the brain and distant structures.

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