KROK 1 2007 – Question 154 · KROK (Medicine) · Pathomorphology

Autopsy of a 48 y.o. man revealed a round formation 5 cm in diameter with clear-cut outlines in the region of the 1st segment of his right lung. This formation was encircled with a thin layer of connective tissue full of white brittle masses. Make a diagnosis of the secondary tuberculosis form:

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

Focus on size and encapsulation: a large, sharply outlined round caseous mass walled off by fibrous tissue, rather than a cavity or a spreading pneumonic infiltrate.

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