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<pre> | |||
A. Lung, Right Lower Lobe, Wedge Biopsy: | |||
- Usual interstitial pneumonia, see comment and microscopic. | |||
B. Lung, Right Middle Lobe, Wedge Biopsy: | |||
- Usual interstitial pneumonia, see comment and microscopic. | |||
C. Lung, Right Upper Lobe, Wedge Biopsy: | |||
- Usual interstitial pneumonia, see comment and microscopic. | |||
Comment: | |||
There are no findings to specifically suggest hypersensitivity. Clinical and radiologic correlation is suggested. | |||
</pre> | |||
===Micro=== | ===Micro=== | ||
<pre> | <pre> | ||
Sections show lung parenchyma with: | Sections show lung parenchyma with: | ||
Fibrosis: present | Fibrosis (severity): present (moderate-to-severe). | ||
Fibrosis - lung field predominance, location (peripheral or central): lower lobe > middle lobe > upper lobe; peripheral predominant. | |||
Fibroblast foci: present. | Fibroblast foci: present. | ||
Temporal heterogeneity: present. | |||
Spatial heterogeneity: present. | |||
Peripheral cyst formation: present. | Peripheral cyst formation: present. | ||
Inflammation: present - patchy, lymphocyte predominant. | Inflammation: present - patchy, lymphocyte predominant. | ||
Granulomatous inflammation: absent. | Granulomatous inflammation: absent. | ||
Blood vessel changes: | Blood vessel changes: present, moderate-to-severe. | ||
Airspace changes: mucous plugs. | Airspace changes: mucous plugs. | ||
</pre> | </pre> |
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