Heels promotion Boutique Nine promotion West Boutique XBYpqH

Image Challenge

A 58-year-old man presented to the outpatient pulmonary clinic with a productive cough and a history of weight loss of 10 kg during the preceding 3 months. He was an active smoker and for the preceding 4 years had worked in a factory processing cotton. Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated with pericardial effusion, pleural effusions in both lungs, and multiple liver lesions. On biopsy of the lung, multiple lesions containing sulfur granules were observed along the bronchial vascular bundle (Panels B and C, with Panel C providing a closeup view of the circled area in Panel B; staining with hematoxylin and eosin). What is the most likely diagnosis?

See how others chose

Back to Poll 14609 Total Responses

Latest in Multimedia

Showing 1-20 of 120618 Articles

September 7, 2018
Chiefs / Directors / Dept. Heads
Malden, Massachusetts
Cardiology / Interventional
Clearwater, Florida
Obstetrics & Gynecology
Cleveland, Ohio
Hematology / Oncology
Bellingham, Washington State
Primary Care
Pittsfield, Massachusetts
Hematology / Oncology