KROK 1 2008 – Question 196 · KROK (Medicine) · Pathomorphology

The upper lobe of the right lung is enlarged, grey and airless, the incision surface is dripping with turbid liquid, the pleura has many fibrinogenous films; microscopical examination of alveoles revealed exudate containing neutrophils, desquamated alveolocytes and fibrin fibers. The bronchus wall is intact. What is the most probable diagnosis?

  1. A. Focal pneumonia
  2. B. Pulmonary abscess
  3. C. Interstitial pneumonia
  4. D. Croupous pneumonia
  5. E. Influenzal pneumonia
Hint

Decide whether the inflammation involves a whole lobe or patches centred on bronchi, what the exudate is made of, and whether the bronchial wall takes part; then match the stage in which the lung is grey and airless.

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