A Curious Case of Cavitations

A patient presents with pulmonary Nodules and cavitations. See the microscopic finding in the BAL fluid that reveals an unexpected diagnosis.

Paragonimiasis


This finding appeared on microscopical examination of the bronchoalveolar-lavage fluid of a patient with pulmonary nodules and cavitations. What is the diagnosis?

What is the most likely diagnosis?

Asbestosis
Ascariasis
Aspergillosis
Coal-worker’s pneumoconiosis
Paragonimiasis

Bronchoalveolar Lavage, Lung Fluke, Paragonimiasis, Parasitic Infection, Pulmonary Nodules

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