KROK 1 2012 – Question 61 · KROK (Medicine) · Pathomorphology

Autopsy of a man who had tuberculosis revealed a 3x2 cm large cavity in the superior lobe of the right lung. The cavity was interconnected with a bronchus, its wall was dense and consisted of three layers: the internal layer was pyogenic, the middle layer was made by tuberculous granulation tissue and the external one was made by connective tissue. What is the most likely diagnosis?

  1. A. Fibrous focal tuberculosis
  2. B. Fibrous cavernous tuberculosis
  3. C. Acute focal tuberculosis
  4. D. Tuberculoma
  5. E. Acute cavernous tuberculosis
Hint

Count the layers of the cavity wall and think about how long the process must have been going on to build the outermost layer.

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