Pt NW Mucoid impaction, localised bronchiectasis and surgery (upper lobectomy) in a patient with ABPA

Date: 26 November 2013

  • Image A. Macroscopic view medial aspect of left upper lobe of lung showing segmental collapse and congestion of lower segments, with mucus extruding from incised bronchi.

  • Image B. Macroscopic view of sliced left upper lobe of lung showing obstruction of lower segmental bronchi by impacted mucus.

  • Image C. Low power microscopic view, haematoxylin and eosin staining, of obstructed bronchus with typical ‘laminated’ appearance – alternating layers of mucus and inflammatory cells.

  • Image D. Higher power microscopic view, haematoxylin and eosin staining, showing goblet cell hyperplasia of bronchial epithelium and inflammatory infiltrate including numerous eosinophils

  • Image E. High power microscopic view, Grocott silver staining, showing scanty fungal hyphae in mucus.

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Macroscopic view medial aspect of left upper lobe of lung showing segmental collapse and congestion of lower segments, with mucus extruding from incised bronchi.

Copyright:

Histology was kindly provided by Dr Helen Doran.

Notes: n/a

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