<prompt> The epithelioid cell is a modified-MacrophageLymphocyteMast cellEosinophil  <response>: Granulomatous inflammation is a form of chronic inflammation characterized by collections of activated macrophages. often with T lymphocytes, and sometimes associated with central necrosis.These granulomas are type IV hypersensitivity reaction that involves CD4-helper T-ceIIs.Helper T-cells are activated by IL-2 and produce IFN-γ interferon gamma the major cytokine of granulomatous inflammation. IFN-γ induces the formation of granuloma by conversion of activated macrophages into epithelioid cells and the formation of giant cells by fusion of epithelial cells, 