KROK 1 2016 – Question 39 · KROK (Medicine) · Pathomorphology

Autopsy of a man with 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 of tuberculous granulation tissue and the external one was made of connective tissue. What is the most likely diagnosis?

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

Pay attention to the wall of the cavity: the number and type of its layers show how long the cavity has existed and whether this is a chronic form.

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