Great example of a classic #ENTPath / #OralPath diagnosis.

#PathSky

This is a case of Coccidioides immitis (!) infection (PCR-confirmed per treating physician request). On follow-up questioning the patient had a travel history to the southwestern US. Very easy to mistake for Blastomyces dermatitidis if all you see is the morphology in the lower left of this image.

Woman in her 50s from the midwest with RLL mass. What species?

#IDSky #SkyPath #MicroSky #PulmPath

Juxtaoral organ of Chievitz that was too good not to share.

Should be (incidentally) found in sections containing muscle/fascia medial to the medial pterygoid muscle, so often seen in larger mandibular or buccal SqCC resections.

#ENTPath #OralPath #PathSky

Dx: Constrictive (obliterative) bronchiolitis (CB).

Circled in blue are the hallmark lesions of CB - subepithelial fibrosis with luminal narrowing/obliteration of small airways (+/- some chronic inflammation). The alveolated lung parenchyma is essentially normal.

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Alright, let's see what this #PathSky is all about. Gotta start with medical lung of course.

Woman in her 50s with progressive shortness of breath that she first noticed a year ago; underwent wedge biopsies for diagnosis. (& unfortunate tissue wrinkles/folds).

#Pathology #PulmPath #Pulmonology