PMC5836449_01
CT chest from day of admission (a), day of fine needle biopsy (b), and prior to VATS (c).
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fig1
It revealed a mass-like consolidation in the right upper lobe along with diffuse nodules and multifocal airspace disease suspicious for invasive aspergillosis (Figure 1).
Histologic sections of pulmonary parenchyma showing prominent necrosis and angioinvasion by fungal species. Fungal hyphal forms noted in lumen and wall of pulmonary vessel (a). Intravascular broad and ribbon-like hyphal forms with right-angle branching and absence of septations, morphologically consistent with zygomycetic infection (hematoxylin/eosin stain (b); GMS staining (c)).
CRIID2018-2658083.002.jpg
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fig2
VATS revealed severe dense adhesions, thickened and necrotic pleura, and the lung was found to be consolidated, hard, and hepatized with necrosis (Figure 2).