009Lu Chronic Histoplasmosis Bx Positive

MULTIPLAE LARGE PULMONARY NODULES
PULMONARY HISTOPLASMOSIS
77-year-old male presents for preop CABG and admitting CXR shows multiple large pulmonary nodules
Chest CT shows innumerable pulmonary nodules ranging from 5mm to 17mms. A few of these nodules are calcified.
CT guided biopsy of the largest irregular nodules in the right lower lobe showed granulomatous pneumonitis with intracellular fungal spores, positive PAS and GMS most compatible with histoplasmosis
Ashley Davidoff MD
MULTIPLAE LARGE PULMONARY HETEROGENEOUS NODULES
PULMONARY HISTOPLASMOSIS
77-year-old male presents for preop CABG and admitting CXR shows multiple large pulmonary nodules
Chest CT shows innumerable pulmonary nodules ranging from 5mm to 17mms. A few of these nodules are calcified.
CT guided biopsy of the largest irregular nodules in the right lower lobe showed granulomatous pneumonitis with intracellular fungal spores, positive PAS and GMS most compatible with histoplasmosis
Ashley Davidoff MD
MULTIPLAE LARGE PULMONARY HETEROGENEOUS NODULES
PULMONARY HISTOPLASMOSIS
77-year-old male presents for preop CABG and admitting CXR shows multiple large pulmonary nodules
Chest CT shows innumerable pulmonary nodules ranging from 5mm to 17mms. A few of these nodules are calcified.
CT guided biopsy of the largest irregular nodules in the right lower lobe showed granulomatous pneumonitis with intracellular fungal spores, positive PAS and GMS most compatible with histoplasmosis
Ashley Davidoff MD
CLACIFIED HILAR NODES
PULMONARY HISTOPLASMOSIS
77-year-old male presents for preop CABG and admitting CXR shows multiple large pulmonary nodules
Chest CT shows innumerable pulmonary nodules ranging from 5mm to 17mms. A few of these nodules are calcified.
CT guided biopsy of the largest irregular nodules in the right lower lobe showed granulomatous pneumonitis with intracellular fungal spores, positive PAS and GMS most compatible with histoplasmosis
Ashley Davidoff MD
SPLENIC GRANULOMA
PULMONARY HISTOPLASMOSIS
77-year-old male presents for preop CABG and admitting CXR shows multiple large pulmonary nodules
Chest CT shows innumerable pulmonary nodules ranging from 5mm to 17mms. A few of these nodules are calcified.
CT guided biopsy of the largest irregular nodules in the right lower lobe showed granulomatous pneumonitis with intracellular fungal spores, positive PAS and GMS most compatible with histoplasmosis
Ashley Davidoff MD
BIOPSY – ULMONARY HISTOPLASMOSIS
77-year-old male presents for preop CABG and admitting CXR shows multiple large pulmonary nodules
Chest CT shows innumerable pulmonary nodules ranging from 5mm to 17mms. A few of these nodules are calcified.
CT guided biopsy of the largest irregular nodules in the right lower lobe showed granulomatous pneumonitis with intracellular fungal spores, positive PAS and GMS most compatible with histoplasmosis
Ashley Davidoff MD