Physical examination:
Temperature - 104.2oF
Pulse - 120/min
Respiratory Rate - 100/min.
Weight - 38 lbs.
Dyspnea with harsh expiratory crackles in all lung fields.
Cranial abdominal organomegaly (suspect hepatomegaly).
Mild generalized lymphadenopathy.

Diagnostic Evaluation:

CBC = WNL

Profile = See results

UA = Sp. Gr. 1.057, pH 5.5, otherwise unremarkable

Thoracic Radiographs = See slides

Abdominal Radiographs = See slides

Tracheal Washing Cytology =Unremarkable; no growth on culture

Liver biopsy = Impression smears submitted for cytology (see slide) while histopathology results were pending. (see histopath slides)