KROK 1 2008 – Question 153 · KROK (Medicine) · Pathomorphology

A patient ill with tuberculosis died from progressing cardiopulmonary decompensation. Autopsy in the area of the right lung apex revealed a cavity 5 cm in diameter communicating with lumen of a segmental bronchus. On the inside cavity walls are covered with caseous masses with epithelioid and Langhans cells beneath them. What morphological form of tuberculosis is it?

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

Think about a single apical cavity opening into a bronchus, with a wall that has a caseous lining and a granulomatous layer but no dense fibrous capsule.

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