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Chemotherapy was initiated utilizing the CHOP protocol cyclophosphamide, hydroxydaunorubicin, vincristine sulfate and prednisone. EBUS-TBNA is a minimally invasive and safe way of getting mediastinal examples. Collaboration with a cytopathologist taught to perform ROSE gets better the diagnostic performance. © 2020 The Authors.We report a 25-year-old lady with persistent dyspnea and wheezes that had been unsuccessfully treated with inhaled beta 2-agonists and steroids for around 12 months. Spiromet