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Clinical-pathologic conference in general thoracic surgery: Bilateral lung transplantation for sarcoidosis with aspergilloma  G.Alexander Patterson, MD 

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Presentation on theme: "Clinical-pathologic conference in general thoracic surgery: Bilateral lung transplantation for sarcoidosis with aspergilloma  G.Alexander Patterson, MD "— Presentation transcript:

1 Clinical-pathologic conference in general thoracic surgery: Bilateral lung transplantation for sarcoidosis with aspergilloma  G.Alexander Patterson, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 124, Issue 1, Pages (July 2002) DOI: /mtc Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

2 Fig. 1 Chest radiograph demonstrates extensive bullous formation and associated hyperinflation. Upper lobe scarring with hilar retraction is seen. An opacity (arrow), likely a fungus ball, is seen within a large cystic space in the left upper hemithorax. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

3 Fig. 2 Computed tomographic image confirms dependent opacity (arrows), likely a fungus ball, in a large cystic space in the left hemithorax. Bronchial distortion (arrowheads) is also noted. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

4 Fig. 3 The initial postoperative chest radiograph (A) demonstrates moderate left perihilar and left basilar opacity, likely representing edema and atelectasis. Pneumonia could have a similar radiographic appearance. Improvement was noted by the third postoperative day (B). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

5 Fig. 4 Sections of the hilar lymph nodes showing marked elastosis and sclerosis. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

6 Fig. 5 Photomicrograph of larger airways with intramural sclerosis.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

7 Fig. 6 Sclerosis surrounding a small airway.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

8 Fig. 7 Terminal bronchiole surrounded by sclerosis with adjacent parenchymal emphysema. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

9 Fig. 8 Section of a bulla wall.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

10 Fig. 9 Sections of the wall of the aspergillus cavity showing mixed inflammatory infiltrate. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

11 Fig. 10 Low-magnification view of bulla contents showing inflammatory debris and hyphae. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

12 Fig. 11 High-magnification view of branching hyphae.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

13 Fig. 12 Sections through one of the larger pulmonary arteries showing intimal thickening. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions


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