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. 2024 May 23;8:114. doi: 10.1038/s41698-024-00606-w

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© The Author(s) 2024

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 1 — Timeline depicting the course of disease and treatment, during which the patient acquired a MYC amplification that was not detected on baseline genetic testing and subsequently developed highly aggressive, immunotherapy-resistant disease. Numbered images at the bottom correspond to the indexes indicated across the course of the disease depicted above. BL: bilateral, EBUS-FNA: endobronchial ultrasound-guided fine-needle aspiration.