case_images: PMC7166268_01
case_images: (a) Thorax CT showing a dense consolidation in the lower lung left lobe with mass aspect and pleural effusion. (b) Tumor obstructing 90% of the left main bronchus (red box).
case_images: CRIID2020-3131024.001.jpg
case_images: PMC7166268_01_CRIID2020-3131024.001.jpg
case_images: fig1
case_images: The CT scan showed bilateral pleural effusion (Figure 1(a)) with an occupational lesion obstructing the left main bronchial lumen (Figure 1(b)) as well as a consolidation with air bronchogram in the left lung in segment 6.
case_images: (a) Panoramic view of the lesion constituted by the stroma mixed with inflammatory cells. (b) A close up of the lesion, where several foamy histiocytes can be seen (arrows). (c, d) Some foamy histiocytes present intracytoplasmatic inclusion bodies with Von Kossa stain known as Michaelis-Gutmann bodies (arrows).
case_images: CRIID2020-3131024.002.jpg
case_images: PMC7166268_01_CRIID2020-3131024.002.jpg
case_images: fig2
case_images: The histopathological report of the transbronchial biopsy (Figure 2) shows a cumulus of inflammatory cells with foamy histiocytes, some of which can be seen with intracytoplasmatic inclusions (Michaelis-Gutmann bodies) compatible with pulmonary malakoplakia.