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Figure 1: (a): Smears show clusters of atypical cells on a hemorrhagic background. (May Grunwald Giemsa, ×200); (b): The atypical cells have low nucleocytoplasmic ratio with small rounded nuclei and abundant foamy cytoplasm. (May Grunwald Giemsa, ×400); (c-f): Composite computed tomography (CT) thorax (c, d and f) images showing the anterior and posterior thoracic masses (arrows) and abdominal CT scan (e) showing the renal mass (arrows)

Figure 1: (a): Smears show clusters of atypical cells on a hemorrhagic background. (May Grunwald Giemsa, ×200); (b): The atypical cells have low nucleocytoplasmic ratio with small rounded nuclei and abundant foamy cytoplasm. (May Grunwald Giemsa, ×400); (c-f): Composite computed tomography (CT) thorax (c, d and f) images showing the anterior and posterior thoracic masses (arrows) and abdominal CT scan (e) showing the renal mass (arrows)