PMC7908333_01
scrotal ultrasonography shows hypoechoic mass lesion in the right testis
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F1
Color-Doppler showed only subtle intralesional vascularisation (Figure 1).
non caseating epitheliod granulomatous lesions of testes
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F2
Histological examination of the orchidectomy patch showed that the pulp of the testes as well as the siminiferous tubes are partially destroyed and replaced by granulomatous folicular foci of which some areas consist mainly of lymphoplasmocytes, polynuclear neutrophils and eosinophils accompanied by many giant multinucleated cells without casous necrosis, this lesion does not invade the epididymis (Figure 2).
chest CT showed traction bronchiectasis with peripheral reticulations in the upper lobes
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F3
Chest CT showed traction bronchiectasis with peripheral reticulations, especially in the upper lobes without visible mediastinal lymphadenopathy (Figure 3).
histopathology of the bronchial biopsy: (A) noncaseating epitheloid granulomas; (B) with giant cells containing the shaumann bodies
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F4
The histological examination of the bronchial biopsy found non-caseating epitheloid granulomas with the presence of the giant cells containing the shaumann bodies (Figure 4).