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The variability in the interrelations of the terminal portions of the thoracic duct and the left vertebral vein and its importance in applying a lymphovenous anastomosis Immunoglobulin G4-related disease (IgG4-RD) is a multiorgan fibroinflammatory condition with lymphoplasmacytic infiltrates containing abundant IgG4-positive plasma cells. Marked reduction in air flow and increased vocal intensity were observed.
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