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==Final diagnosis== | ==Final diagnosis== | ||
Heart allograft, endomyocardial biopsies x 7 - ISHLT Grade 1R, acute cellular rejection, focal, mild. | Heart allograft, endomyocardial biopsies x 7 - ISHLT Grade 1R, acute cellular rejection, focal, mild. | ||
== Biopsy - benign == | |||
===Microscopic=== | |||
The biopsy sample is adequate to pathologically evaluate acute cellular rejection activity. There is microcopic focal endomyocardial fibrosis which may represent the site of a previous biopsy. One small lymphocytic infiltrate is seen superficially (Quilty effect). Inflammation of the myocardium is not appreciated. Edema of the myocardium is not appreciated. Myocardial vessels are unremarkable. | |||
===Final diagnosis=== | |||
Heart allograft, endomyocardial biopsies x 5 - ISHLT Grade 0, no evidence of acute cellular rejection, with: | |||
i) AMR - 0 (by ordinary light microscopy) | |||
ii) endomyocardial fibrosis, focal | |||
iii) endocardial lymphocytic infiltrate (Quilty effect), small |
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