A 62-year-old man presented with a 2-week history of fatigue and easy bruising. During hospitalization he developed progressive dyspnea, which, on the basis of abormal findings from a ventilation-perfusion scan, was attributed to multiple small pulmonary emboli. Postmortem examination demonstrated intravascular lymphoma prominently involving the pulmonary interstitium and vasculature. This case is unsual in its clinical presentation as pulmonary thromboembolic disease.
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