College of American Pathologists
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2009 — October Case of the Month

Updated September 30, 2009


CAP Foundation October 2009 Online Case of the Month

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A 55-year-old homeless man presented to the emergency room with severe shortness of breath, cough and fever. He was admitted to the hospital but rapidly developed respiratory failure and expired. An autopsy was performed. The right lower lobe of the lung showed confluent consolidation with a firm, yellow-red cut surface. Patchy areas of consolidation were also present in the other lobes.

The master list with the correct answer

  • Acute fibrinous and organizing pneumonia
  • Acute lobar pneumonia
  • Diffuse alveolar damage
  • Diffuse alveolar hemorrhage with capillaritis
  • Eosinophilic pneumonia

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  • Appropriate diagnosis
  • Critique
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