| Case 45 | Surgical Pathology Case |
| Clinical Information | ||
q62 YO, M, H/O diabetes; Smoker-16 yrs, 2-3 PPD; Traveled a lot in US last year. For 2 yrs, increasing weakness/fatigue, loss of 80 pounds; Over the past months, fever/night sweats, cough with yellow/green sputum; He was then admitted and found to have: •Bilateral apical cystic changes of the lung; •TB test positive; •distended gallbladder and intrahepatic bile ducts; •Marked dilation of the pancreatic duct with possible distal pancreatic necrosis. •SAIDH, hyponatremia, hypokalemia and high bicarbonate; •Pronounced dead two weeks after admission. Autopsy perform. Examinations of the lung are presented here, and examinations of the pancreas are in case 46. | ||
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| Gross Examination | ||
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•Cavities: R-6.0cm, L-2.0cm. Consolidation: RUL. Miliary spreading | Brown Atrophy of the Heart | |
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Cavity and consolidation - RUL | Cavity, consolidation and military spreading - RUL | |
| Microscopic Examination | ||
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Caseating Necrosis - RUL. HE, 4× | Caseating Necrosis - RUL. HE, 20× | |
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| AFB, 60× | ||
| Source: Department of Pathology, Creighton University Medical Center, Omaha, NE Photo: Zenggang Pan Discussion: Zenggang Pan | ||