PMC6446050_01
Initial CT scan of the chest showing left lung mass (arrow), nodules and hilar adenopathy (arrowheads).
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PMC6446050_01_gr1.jpg
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Chest CT scan showed left upper lung lobe mass measuring 3.1 x 2.6 x 2.2 cm with smaller lower lobe lung nodules and mild left hilar adenopathy (Fig. 1).
Left; Lung Mass Tissue Biopsy with H&E stain showing necrotizing granuloma is present on a fibrotic background. Right; Lung Mass Tissue Biopsy with AFB stain, showing Acid fast bacilli present within scattered histiocytes.
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PMC6446050_01_gr2.jpg
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Pathology exam revealed necrotizing granuloma with acid fast bacilli (Fig. 2).