This is a 41-year-old female with one left upper lobe lung mass in June 2008 and now has one new left lower lobe lung mass. The FNA was done in June 2008 in an outside hospital. They used the rapid H&E stain (our pathologist friends in China are more familia with this stain). The patient has a history of a lower leg mass back in 2001 (I don't know the diagnosis and is in the process of getting the slides). The outside pathologist made a diagnosis on the FNA, which is reasonable but I doubt it. The first three pictures are cytology and the last two pictures are the cell block. Should generate some discussion? I will keep you posted.