<prompt> A person is having painless lymphadenopathy. On biopsy, binucleated owl shaped nuclei with clear vacuolated area is seen. On IHC CD 15 and CD 30 were positive. What is the most probable diagnosis?Nodular sclerosisLarge granular lymphocytic lymphomaLymphocyte depletion typeLymphocyte predominant HD  <response>: Ans. a Nodular sclerosisRef: Robbins 9thpg 606-611Binucleated owl shaped nuclei with clear vacuolated area refers to Lacunar cells.Lacunar cells are seen in the nodular sclerosis subtype of Hodgkins diseaseLacunar cells have delicate, folded, or multilobate nuclei and abundant pale cytoplasm that is often disrupted during the cutting of sections, leaving the nucleus sitting in an empty space lacuna 