Image Based Question – 74833

A middle aged immune compromised male came with fever and breathlessness. HRCT showed a middle lobe lesion with infiltration. Lung biopsy from the lesion is shown in image. Most likely Diagnosis is?

A. Tuberculosis

B. Cryptogenic organizing pneumonia

C. Small cell carcinoma luns

D. CMV pneumonia

Correct Answer » D Explanation

Ans. D. CMV pneumonia

(Ref. Robhins & Cotran,9’L ed., pg. 687, 705 & 717)

• The history of immune compromise is provided in the history.
• In the given image, many cells with intranuclear inclusions, suggestive of cytomegalovirus are seen.