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image
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Sarcoidosis- Emphysema & fibrosis
Sarcoidosis- Emphysema & fibrosis
Sarcoidosis- Emphysema & fibrosis
8e14944abfbba3cc90225a4e9019adfd
1314191925
6076578226
https://live.staticflick…470cbaa5a2_b.jpg
30950973@N03
sarcoidosis - emphysema
[ "specimen", "pathology", "lung", "gross", "macroscopic", "emphysema", "fibrosis", "sarcoidosis", "sarcoidosis - emphysema" ]
709
1,024
Sarcoidosis- Emphysema & fibrosis
Sarcoidosis- Emphysema & fibrosis
Sarcoidosis- Emphysema & fibrosis
dfc94f9c48b56335588ccd9a22a47762
1314191920
6076578056
https://live.staticflick…16736dbd0d_b.jpg
30950973@N03
sarcoidosis - emphysema
[ "specimen", "pathology", "lung", "gross", "macroscopic", "emphysema", "fibrosis", "sarcoidosis", "sarcoidosis - emphysema" ]
730
1,024
Apical bullous lesions are present as well as pleural fibrosis.
Apical bullous lesions are present as well as pleural fibrosis.
Sarcoidosis - Bullous emphysema
8e4e868bf041f6f90be429d906f538e2
1314191913
6076577794
https://live.staticflick…fa3a1cac71_b.jpg
30950973@N03
sarcoidosis - emphysema
[ "specimen", "pathology", "lung", "gross", "macroscopic", "emphysema", "bullous", "sarcoidosis", "bulla", "sarcoidosis - emphysema" ]
1,023
694
Apical bullous lesions are presenr.
Apical bullous lesions are presenr.
Sarcoidosis - Bullous emphysema
e64293df78346a0f4e141a48e839f64d
1314191910
6076577690
https://live.staticflick…80b4f1d2b5_b.jpg
30950973@N03
sarcoidosis - emphysema
[ "specimen", "pathology", "lung", "gross", "macroscopic", "emphysema", "bullous", "sarcoidosis", "bulla", "sarcoidosis - emphysema" ]
1,023
690
Cut surface of a large apical bulla. Involved hilar lymph nodes also present.
Cut surface of a large apical bulla. Involved hilar lymph nodes also present.
Sarcoidosis Bullous emphysema
6d5cfbba2e98c78a6722d037951af3b5
1314191906
6076577584
https://live.staticflick…8d04f86b37_b.jpg
30950973@N03
sarcoidosis - emphysema
[ "specimen", "pathology", "lung", "gross", "macroscopic", "emphysema", "bullous", "sarcoidosis", "bulla", "sarcoidosis - emphysema" ]
626
1,024
The upper portions of both lungs are destroyed by the extensive bullous emphysema.
The upper portions of both lungs are destroyed by the extensive bullous emphysema.
Sarcoidosis - Bullous emphysema
2490a79e94c2eadc0a701dd0c8bc9cab
1314191904
6076040639
https://live.staticflick…9229498914_b.jpg
30950973@N03
sarcoidosis - emphysema
[ "specimen", "pathology", "lung", "gross", "macroscopic", "emphysema", "bullous", "fibrosis", "sarcoidosis", "bulla", "sarcoidosis - emphysema" ]
1,024
693
The upper lobe is totally destroyed by bullous emphysema. The lower lobe exhibits emphysema and fibrosis.
The upper lobe is totally destroyed by bullous emphysema. The lower lobe exhibits emphysema and fibrosis.
Sarcoidosis - Bullous emphysema
8756ab078b5eeb91474af0c9c03e26b6
1314191901
6076040537
https://live.staticflick…44c9fc4522_b.jpg
30950973@N03
sarcoidosis - emphysema
[ "specimen", "pathology", "lung", "gross", "macroscopic", "emphysema", "bullous", "fibrosis", "sarcoidosis", "bulla", "sarcoidosis - emphysema" ]
670
1,024
The left lung contains a large apical bulla and exhibits diffuse fibrosis. The right lung exhbits extensive fibrosis in the upper and middle lobes and honeycomb fibrosis in the lower lobe.
The left lung contains a large apical bulla and exhibits diffuse fibrosis. The right lung exhbits extensive fibrosis in the upper and middle lobes and honeycomb fibrosis in the lower lobe.
Sarcoidosis - Bullous emphysema, fibrosis, honeycombing
696b5dd6eea55a1a869621e5e274798d
1314194190
6076666576
https://live.staticflick…9fddff71df_b.jpg
30950973@N03
sarcoidosis - emphysema
[ "specimen", "pathology", "lung", "gross", "macroscopic", "emphysema", "bullous", "fibrosis", "honeycombing", "honeycomb", "bulla", "sarcoidosis", "sarcoidosis - emphysema" ]
716
852
In addition to the extensive honeycombing seen in the lower portion of this lower lobe there is bullous empysema seen at the apex. Honeycombing consists of cystically dilated airways separated by scar tissue resembling the honeycomb of bees. It is a non-specific end stage of many types of interstitial lung disease. Emp...
In addition to the extensive honeycombing seen in the lower portion of this lower lobe there is bullous empysema seen at the apex. Honeycombing consists of cystically dilated airways separated by scar tissue resembling the honeycomb of bees. It is a non-specific end stage of many types of interstitial lung disease. Emp...
Sarcoidosis - Honeycombing and emphysema
d71354565930d12425db8f551c1a73ef
1314195630
6076191247
https://live.staticflick…d0c6e544ef_b.jpg
30950973@N03
sarcoidosis - emphysema
[ "specimen", "pathology", "gross", "macroscopic", "lung", "fibrosis", "honeycomb", "honeycombing", "emphysema", "bulla", "bullous", "sarcoidosis", "sarcoidosis - emphysema" ]
683
1,024
This laceration is the result of a stab wound.
This laceration is the result of a stab wound.
Laceration of lung
017933f25077f7fad658f6a80d8d88c8
1302719015
5616503771
https://live.staticflick…94d7b514e5_b.jpg
30950973@N03
traumatic injury
[ "lung", "gross", "macroscopic", "laceration", "traumatic injury" ]
1,024
683
These images show macrophages containing methylene blue within granulation tissue lining a thoracic fistula. Methylene blue has been injected into the fistula to enable the surgeon to accurately locate it. Thoracic fistulas may result from abnormal communications between spaces within the thorax, such as the lung, trac...
These images show macrophages containing methylene blue within granulation tissue lining a thoracic fistula. Methylene blue has been injected into the fistula to enable the surgeon to accurately locate it. Thoracic fistulas may result from abnormal communications between spaces within the thorax, such as the lung, tra...
Methylene blue within a thoracic fistula
15aeb08161679743315eea7fa590fce5
1668023351
52489167904
https://live.staticflick…ea53e675d2_b.jpg
30950973@N03
foreign bodies
[ "thorax", "fistula", "microscopic", "methyleneblue", "foreignbody", "foreign bodies" ]
786
720
Bilateral ruptured breast implants indicated by short arrowsThe sample is a pleural effusion cytology specimen. The effusion contains silicone, both extracellular and within macrophages. The few reported cases relate it with abrupt mechanical trauma or chest wall defects that put the implant and pleura in direct contac...
Bilateral ruptured breast implants indicated by short arrows The sample is a pleural effusion cytology specimen. The effusion contains silicone, both extracellular and within macrophages. The few reported cases relate it with abrupt mechanical trauma or chest wall defects that put the implant and pleura in direct cont...
Silicone - Pleural effusion - Cytology specimen
66c64db87b66de154ca11c40f5b96a35
1668274500
52494266462
https://live.staticflick…d28291b64d_b.jpg
30950973@N03
foreign bodies
[ "pleura", "effusion", "microscopic", "foreignbody", "silicone", "ct", "cytology", "breastimplant", "ruptired", "foreign bodies" ]
894
720
In this pleural biopsy, a chronic inflammatory reaction with giant cells is seen, reacting to the presence of food material originating from an esophageal fistula. In the two bottom photographs, the structure of this material, although deteriorated, is still preserved. These are particles of vegetable material which, d...
In this pleural biopsy, a chronic inflammatory reaction with giant cells is seen, reacting to the presence of food material originating from an esophageal fistula. In the two bottom photographs, the structure of this material, although deteriorated, is still preserved. These are particles of vegetable material which, d...
Food particles-pleura- from esophageal fistula
2ca83bd619f50a799519b8b71bacc01e
1674247799
52638409947
https://live.staticflick…f626063f77_b.jpg
30950973@N03
foreign bodies
[ "pleura", "microscopic", "food", "esophagealfistula", "seedstoragecells", "foreignbody", "vegetable", "foreign bodies" ]
1,012
709
This foreign body was found at bronchoscopy. Distal bronchus intermedius. On further questioning patient remembered choking when eating Gobi Manchurian, a popular Indo Chinese appetizer made with cauliflower, corn flour, soya sauce, vinegar, chili sauce, ginger & garlic, 6 months’ prior. Several protrusions that co...
This foreign body was found at bronchoscopy. Distal bronchus intermedius. On further questioning patient remembered choking when eating Gobi Manchurian, a popular Indo Chinese appetizer made with cauliflower, corn flour, soya sauce, vinegar, chili sauce, ginger & garlic, 6 months’ prior. Several protrusions that c...
Aspirated cauliflower- Bronchus
1dfd58edc0c9ea5db41716c417bfa376
1676927828
52701564498
https://live.staticflick…50d9e28db8_b.jpg
30950973@N03
aspiration
[ "bronchus", "foreignbody", "aspiration", "cauliflower", "vegetable", "gross", "bronchoscopic", "lung" ]
601
482
Severe granulomatous inflammation and fibrosis following instillation of talc and other irritants into the pleural space (pleurodesis) causes obliteration of the space, thus preventing further pleural effusions from forming in those who have already had (or are at risk for) multiple effusions. The talc crystals are lar...
Severe granulomatous inflammation and fibrosis following instillation of talc and other irritants into the pleural space (pleurodesis) causes obliteration of the space, thus preventing further pleural effusions from forming in those who have already had (or are at risk for) multiple effusions. The talc crystals are lar...
Talc-Pleura-Post-pleurodesis
c815a573785917abda565a83ff1e32d3
1681397269
52813987132
https://live.staticflick…48b8581f30_b.jpg
30950973@N03
foreign bodies
[ "lung", "pleura", "microscopic", "talc", "pleurodesis", "polarized", "foreign bodies" ]
960
720
Transmural granulomatous vasculitis involving a pulmonary vein.
Transmural granulomatous vasculitis involving a pulmonary vein.
Sarcoidosis - Granulomatous phlebitis
e6854f223899b4da7607dca471eb94a5
1315522189
6128664964
https://live.staticflick…4eb711003b_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "specimen", "pathology", "lung", "microscopic", "sarcoidosis", "vasculitis", "angiitis", "phlebitis", "sarcoidosis - vasculitis" ]
1,024
713
Intimal granuloma in a pulmonary vein.
Intimal granuloma in a pulmonary vein.
Sarcoidosis - Granulomatous phlebitis
5929391ebdf78d88b71ebb24bc1cef0e
1315522147
6128114043
https://live.staticflick…2c806a009c_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "specimen", "pathology", "lung", "microscopic", "sarcoidosis", "vasculitis", "angiitis", "phlebitis", "sarcoidosis - vasculitis" ]
1,024
713
Intimal granuloma in a pulmonary vein.
Intimal granuloma in a pulmonary vein.
Sarcoidosis - Granulomatous phlebitis
326ae0c063df4ed361c47f9ebaa8c55b
1315522096
6128661432
https://live.staticflick…a8827a060f_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "specimen", "pathology", "lung", "microscopic", "sarcoidosis", "vasculitis", "angiitis", "phlebitis", "sarcoidosis - vasculitis" ]
1,024
708
Intimal granuloma in a pulmonary vein.
Intimal granuloma in a pulmonary vein.
Sarcoidosis - Granulomatous phlebitis
06e09994f64b9c3cead02cd6a841b159
1315522049
6128110457
https://live.staticflick…dba4e71bb5_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "specimen", "pathology", "lung", "microscopic", "sarcoidosis", "vasculitis", "angiitis", "phlebitis", "sarcoidosis - vasculitis" ]
1,024
708
Transmural granulomatious vasculitis involving a pulmonary vein.
Transmural granulomatious vasculitis involving a pulmonary vein.
Sarcoidosis - Granulomatous phlebitis
0ad6559b89058358b468ad517cd27e02
1315522012
6128658328
https://live.staticflick…6e1ea856d6_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "specimen", "pathology", "lung", "microscopic", "sarcoidosis", "vasculitis", "angiitis", "phlebitis", "sarcoidosis - vasculitis" ]
1,024
708
Intimal granuloma involving a pulmonary vein.
Intimal granuloma involving a pulmonary vein.
Sarcoidosis - Granulomatous phlebitis
35202617207b64286daef5a1c755d7d8
1315521972
6128656800
https://live.staticflick…78d8149e25_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "specimen", "pathology", "lung", "microscopic", "sarcoidosis", "vasculitis", "angiitis", "phlebitis", "sarcoidosis - vasculitis" ]
1,024
684
A small pulmonary vein is present in the left ower quadrant. Without an elastic tissue stain it is very difficult to recognize that there is a granulomatous phlebitis. See next image
A small pulmonary vein is present in the left ower quadrant. Without an elastic tissue stain it is very difficult to recognize that there is a granulomatous phlebitis. See next image
Sarcoidosis - Granulomatous phlebitis
3309c546f813126e720a88d5c6e3c706
1315521952
6128655968
https://live.staticflick…3d558b145c_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "specimen", "pathology", "lung", "microscopic", "sarcoidosis", "vasculitis", "angiitis", "phlebitis", "sarcoidosis - vasculitis" ]
1,024
672
Elastic tissue stain of previous image clearly demonstrating granulomatous phlebitis. Elastic tissue stains can be extremely helpful in demonstrating vascular involvement in non-neoplastic and neoplstic lung diseases. See previous image.
Elastic tissue stain of previous image clearly demonstrating granulomatous phlebitis. Elastic tissue stains can be extremely helpful in demonstrating vascular involvement in non-neoplastic and neoplstic lung diseases. See previous image.
Sarcoidosis - Granulomatous phlebitis - Elastic tissue stain
707be62aef2f31227309723c1457af1e
1315521915
6128654586
https://live.staticflick…e378dcf0b1_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "specimen", "pathology", "lung", "microscopic", "sarcoidosis", "vasculitis", "angiitis", "phlebitis", "elastic", "elastica", "sarcoidosis - vasculitis" ]
1,024
680
Transmural granulomatous vasculitis involving a pulmonary vein. Elastic tissue stain.
Transmural granulomatous vasculitis involving a pulmonary vein. Elastic tissue stain.
Sarcoidosis - Granulomatous phlebitis - Elastic tissue stain
e331a24cb8bcc173057e6115d96c2565
1315521882
6128653322
https://live.staticflick…c2ca9b2af2_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "specimen", "pathology", "lung", "microscopic", "sarcoidosis", "vasculitis", "angiitis", "phlebitis", "elastic", "elastica", "sarcoidosis - vasculitis" ]
1,024
677
Granulomatous vasculitis involving the adventitia of a pulmonary vein. Elastic tissue stain.
Granulomatous vasculitis involving the adventitia of a pulmonary vein. Elastic tissue stain.
Sarcoidosis - Granulomatous phlebitis - Elastic tissue stain
99c3ec77cea24c6e0aa359524d6ee1e6
1315521840
6128651808
https://live.staticflick…6fd3eea674_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "specimen", "pathology", "lung", "microscopic", "sarcoidosis", "vasculitis", "angiitis", "phlebitis", "elastic", "elastica", "sarcoidosis - vasculitis" ]
1,023
702
Transmural granulomatous vasculitis involving a pulmonary vein. Elastic tissue stain.
Transmural granulomatous vasculitis involving a pulmonary vein. Elastic tissue stain.
Sarcoidosis - Granulomatous phlebitis - Elastic tissue stain
6549ec5274a7a938e3d0174201021cbf
1315521797
6128650190
https://live.staticflick…352b49b6f2_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "specimen", "pathology", "lung", "microscopic", "sarcoidosis", "vasculitis", "angiitis", "phlebitis", "elastic", "elastica", "sarcoidosis - vasculitis" ]
1,024
678
Transmural granulomatous vasculitis involving a pulmonary vein. Elastic tissue stain.
Transmural granulomatous vasculitis involving a pulmonary vein. Elastic tissue stain.
Sarcoidosis - Granulomatous phlebitis - Elastic tissue stain
1f4751a967dd4130d111369d4e50df01
1315521744
6128648214
https://live.staticflick…fc8f5d56f0_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "specimen", "pathology", "lung", "microscopic", "sarcoidosis", "vasculitis", "angiitis", "phlebitis", "elastic", "elastica", "sarcoidosis - vasculitis" ]
1,023
702
Transmural granulomatous vasculitis involving a pulmonary vein. Elastic tissue stain.
Transmural granulomatous vasculitis involving a pulmonary vein. Elastic tissue stain.
Sarcoidosis - Granulomatous phlebitis - Elastic tissue stain
fa5a2029b95c6b5fc20540bee6016d21
1315521702
6128646656
https://live.staticflick…4573c40867_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "specimen", "pathology", "lung", "microscopic", "sarcoidosis", "vasculitis", "angiitis", "phlebitis", "elastic", "elastica", "sarcoidosis - vasculitis" ]
1,023
702
Intimal and medial granulomatous vasculitis involving a pulmonary vein. Note that the elastica of the vein is intact. Elastic tissue stain.
Intimal and medial granulomatous vasculitis involving a pulmonary vein. Note that the elastica of the vein is intact. Elastic tissue stain.
Sarcoidosis - Granulomatous phlebitis - Elastic tissue stain
516a1b9818f3e69c9639975169e79191
1315521656
6128095717
https://live.staticflick…bf39423db2_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "specimen", "pathology", "lung", "microscopic", "sarcoidosis", "vasculitis", "angiitis", "phlebitis", "elastic", "elastica", "sarcoidosis - vasculitis" ]
1,024
686
Extensive Transmural granulomatous vasculitis involving a pulmonary vein. Elastic tissue stain.
Extensive Transmural granulomatous vasculitis involving a pulmonary vein. Elastic tissue stain.
Sarcoidosis - Granulomatous phlebitis - Elastic tissue stain
16450debf75b8e27369a1adbb8c7d779
1315521616
6128643500
https://live.staticflick…4fafc4f038_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "specimen", "pathology", "lung", "microscopic", "sarcoidosis", "vasculitis", "angiitis", "phlebitis", "elastic", "elastica", "sarcoidosis - vasculitis" ]
1,024
695
Transmural granulomatous vasculitis involving a pulmonary vein. Elastic tissue stain.
Transmural granulomatous vasculitis involving a pulmonary vein. Elastic tissue stain.
Sarcoidosis - Granulomatous phlebitis - Elastic tissue stain
6fc244202fe1adcb75d65ed3cd43af88
1315521567
6128092569
https://live.staticflick…ff3c414a21_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "specimen", "pathology", "lung", "microscopic", "sarcoidosis", "vasculitis", "angiitis", "phlebitis", "elastic", "elastica", "sarcoidosis - vasculitis" ]
1,024
702
Transmural granulomatous vasculitis involving a pulmonary vein with intact elastica. Elastic tissue stain.
Transmural granulomatous vasculitis involving a pulmonary vein with intact elastica. Elastic tissue stain.
Sarcoidosis - Granulomatous phlebitis - Elastic tissue stain
9365fe46891c7d74d8161879f71a3e7b
1315521540
6128640650
https://live.staticflick…b940a0f7a9_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "specimen", "pathology", "lung", "microscopic", "sarcoidosis", "vasculitis", "angiitis", "phlebitis", "elastic", "elastica", "sarcoidosis - vasculitis" ]
1,023
692
Small vein with complete lumenal obliteration by granuloma. The elastica is intact. Lesions such as this one, if widespread, account for the rare cases of piulmonary obstructuve venopathy (POV)/pulmonary veno-occlusive disease (PVOD) that have been reported in association with granulomatous phlebitis in sarcoidosis.
Small vein with complete lumenal obliteration by granuloma. The elastica is intact. Lesions such as this one, if widespread, account for the rare cases of piulmonary obstructuve venopathy (POV)/pulmonary veno-occlusive disease (PVOD) that have been reported in association with granulomatous phlebitis in sarcoidosis.
Sarcoidosis - Granulomatous phlebitis - Elastic tissue stain
a5e117ddb6e5e184d597cfbcd72fff0a
1315521514
6128090641
https://live.staticflick…565cec4381_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "specimen", "pathology", "lung", "microscopic", "sarcoidosis", "vasculitis", "angiitis", "phlebitis", "elastic", "elastica", "pov", "pvod", "venoocclusivedisease", "sarcoidosis - vasculitis" ]
1,024
685
An arterial granuloma arising from the intima and projecting into the lumen as a polypoid lesion.
An arterial granuloma arising from the intima and projecting into the lumen as a polypoid lesion.
Sarcoidosis - Granulomatous arteritis
f4df72533dd6fdd3c21f4c533f7cf389
1315520445
6128599246
https://live.staticflick…85f51d550a_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "lung", "microscopic", "specimen", "pathology", "sarcoidosis", "granuloma", "granulomatous", "vasculitis", "angiitis", "arteritis", "sarcoidosis - vasculitis" ]
1,024
705
This transmural arterial granuloma was encountered in a transbronchial lung biopsy. It is very unusual to see granulomatous vasculitis in a transbronchial biopsy specimen.
This transmural arterial granuloma was encountered in a transbronchial lung biopsy. It is very unusual to see granulomatous vasculitis in a transbronchial biopsy specimen. See NOTE See next image.
Sarcoidosis - Granulomatous arteritis
f28a6811c8f4d93245c6b6a6ce8923f9
1315520413
6128597882
https://live.staticflick…d03b591347_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "lung", "microscopic", "specimen", "pathology", "sarcoidosis", "granuloma", "granulomatous", "vasculitis", "angiitis", "arteritis", "sarcoidosis - vasculitis" ]
1,024
703
Higher magnification view of the arterial granuloma seen in the previous image.
Higher magnification view of the arterial granuloma seen in the previous image.
Sarcoidosis - Granulomatous arteritis
68f9cf162b1ee994a69749606119a178
1315520386
6128047915
https://live.staticflick…18c46b2235_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "lung", "microscopic", "specimen", "pathology", "sarcoidosis", "granuloma", "granulomatous", "vasculitis", "angiitis", "arteritis", "sarcoidosis - vasculitis" ]
1,024
847
Transmural arterial granuloma.
Transmural arterial granuloma.
Sarcoidosis - Granulomatous arteritis
d01fe09e3affbe7c670f79625b3d2ff4
1315520348
6128046403
https://live.staticflick…76297f17e3_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "lung", "microscopic", "specimen", "pathology", "sarcoidosis", "granuloma", "granulomatous", "vasculitis", "angiitis", "arteritis", "sarcoidosis - vasculitis" ]
1,024
692
Intimal arterial granuloma
Intimal arterial granuloma
Sarcoidosis - Granulomatous arteritis
4b9fb682fbe0108533c5c3bfa6fa558b
1315520324
6128594446
https://live.staticflick…80c22c4978_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "lung", "microscopic", "specimen", "pathology", "sarcoidosis", "granuloma", "granulomatous", "vasculitis", "angiitis", "arteritis", "sarcoidosis - vasculitis" ]
1,024
688
Transmural granulomatous involvement of a pulmonary artery.
Transmural granulomatous involvement of a pulmonary artery.
Sarcoidosis - Granulomatous arteritis
a1c2fdf12cc8da28fd5cfc03b1028a96
1315520309
6128593868
https://live.staticflick…d7f7697b37_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "lung", "microscopic", "specimen", "pathology", "sarcoidosis", "granuloma", "granulomatous", "vasculitis", "arteritis", "sarcoidosis - vasculitis" ]
1,024
689
Transmural granuloma involving arterial wall with complete destruction of the internal and external elastic laminae. Because of the low pressure in the pulmonary arteries aneurysms do not tend to form even wth this extent of vascular wall damage.
Transmural granuloma involving arterial wall with complete destruction of the internal and external elastic laminae. Because of the low pressure in the pulmonary arteries aneurysms do not tend to form even wth this extent of vascular wall damage.
Sarcoidosis - Granulomatous arteritis - Elastic tissue stain
e460a8f2d4a30fbafcf1934b6e5496e3
1315520270
6128043527
https://live.staticflick…9de9619737_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "lung", "microscopic", "specimen", "pathology", "sarcoidosis", "granuloma", "granulomatous", "vasculitis", "angiitis", "elastic", "elastica", "arteritis", "sarcoidosis - vasculitis" ]
1,024
705
Intimal granuloma(s) involving a pulmonary artery. Although there appear to be 2 granulomas we may be seeing the same granuloma sectioned twice.
Intimal granuloma(s) involving a pulmonary artery. Although there appear to be 2 granulomas we may be seeing the same granuloma sectioned twice.
Sarcoidosis - Granulomatous arteritis - Elastic tissue stain
2910ff89190efefe59122796ea44b35e
1315520232
6128590892
https://live.staticflick…071095248d_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "lung", "microscopic", "specimen", "pathology", "sarcoidosis", "granuloma", "granulomatous", "vasculitis", "angiitis", "elastic", "elastica", "arteritis", "sarcoidosis - vasculitis" ]
1,023
702
A fibrous septum contains a pulmonary vein and a lymphatic vessel to its right which is completely occupied by a granuloma.Granulomatous pulmonary lymphangitis in sarcoidosis is rarely encountered in biopsy specimens but its presence has been reported in 100% of autopsy specimens.
A fibrous septum contains a pulmonary vein and a lymphatic vessel to its right which is completely occupied by a granuloma.Granulomatous pulmonary lymphangitis in sarcoidosis is rarely encountered in biopsy specimens but its presence has been reported in 100% of autopsy specimens.
Sarcoidosis- Granulomatous lymphangitis
482079b013dfddffeefddf422dc77145
1315521466
6128637984
https://live.staticflick…1247eb1afb_b.jpg
30950973@N03
sarcoidosis - vasculitis
[ "specimen", "pathology", "lung", "microscopic", "sarcoidosis", "vasculitis", "angiitis", "lymphangitis", "lymphaticinvolvement", "sarcoidosis - vasculitis" ]
1,024
686
There is a granuloma within a fibrous septum which is probably within a lymphatic vessel.
There is a granuloma within a fibrous septum which is probably within a lymphatic vessel. See NOTE.
Sarcoidosis
a70e12f6007e064dab1f3711d3d85eff
1315630829
6132224876
https://live.staticflick…a3f51d183a_b.jpg
30950973@N03
sarcoidosis - lung involvement, microscopic
[ "sarcoidosis", "lung", "microscopic", "specimen", "pathology", "granuloma", "nonnecrotizing", "lymphatic", "lymphaticdistribution", "sarcoidosis - lung involvement, microscopic" ]
1,024
663
Diffuse bilateral pulmonary hemorrhage associated with rapidly progressive glomerulonephritis.
Diffuse bilateral pulmonary hemorrhage associated with rapidly progressive glomerulonephritis. Image contributed by Dr. Yale Rosen - @yro854
Diffuse hemorrhage-Goodpasture syndrome
a74b67499bb2ad47ae21691c27376b66
1247924682
3731499661
https://live.staticflick…b359066777_b.jpg
30950973@N03
hemorrhage
[ "pathology", "specimen", "lung", "gross", "macroscopic", "hemorrhage", "goodpasture" ]
844
713
Diffuse bilateral hemorrhage.
Diffuse bilateral hemorrhage.
Goodpasture syndrome
66317a34332ea9c3274ace39aac31596
1280871506
4857742833
https://live.staticflick…6f280839da_b.jpg
30950973@N03
hemorrhage
[ "specimen", "pathology", "lung", "gross", "macroscopic", "hemorrhage", "goodpasture" ]
1,023
781
The alveoli are occupied by red blood cells.
The alveoli are occupied by red blood cells.
Acute intra-alveolar hemorrhage
6288f689e633825260087324bb1154ba
1341054069
7471755688
https://live.staticflick…ce40b7b29e_b.jpg
30950973@N03
hemorrhage
[ "lung", "microscopic", "acute", "hemorrhage" ]
1,024
675
Extensive Intra-alveolar hemosiderin deposition following pulmonary hemorrhage. Pulmonary veno-occlusive disease.
Extensive Intra-alveolar hemosiderin deposition following pulmonary hemorrhage. Pulmonary veno-occlusive disease. Image contributed by Dr. Yale Rosen - @yro854
Intra-alveolar hemosiderin deposition Case 100
b4d920ed7308d787f143c208abe864bf
1245029877
3626657027
https://live.staticflick…0f94f44987_b.jpg
30950973@N03
hemorrhage
[ "lung", "photomicrograph", "hemosiderin", "hemosiderosis", "pathology", "specimen", "microscopic", "hemorrhage" ]
1,024
768
Extensive Intra-alveolar hemosiderin deposition following pulmonary hemorrhage. Prussian blue stain. Pulmonary veno-occlusive disease.
Extensive Intra-alveolar hemosiderin deposition following pulmonary hemorrhage. Prussian blue stain. Pulmonary veno-occlusive disease. Image contributed by Dr. Yale Rosen - @yro854
Intra-alveolar hemosiderin deposition Case 101
6b21d1e96b581d3e94e6fe6fd5aedf09
1245029888
3626657617
https://live.staticflick…ae7a0fb6d1_b.jpg
30950973@N03
hemorrhage
[ "lung", "photomicrograph", "hemosiderin", "hemosiderosis", "prussian", "blue", "pathology", "specimen", "microscopic", "hemorrhage" ]
1,024
768
Acute hemorrhage due to capillaritis (capillaritis not apparent at this low magnification).
Acute hemorrhage due to capillaritis (capillaritis not apparent at this low magnification). Image contributed by Dr. Yale Rosen - @yro854
GPA/Wegener's granulomatosis Case 105
d4303a2d33ea57ba53a4bdd2c14314b7
1248008968
3735200552
https://live.staticflick…3fc1f18725_b.jpg
30950973@N03
hemorrhage
[ "pathology", "specimen", "lung", "microscopic", "photomicrograph", "wegenersgranulomatosis", "vasculitis", "capillaritis", "hemorrhage", "xyz", "gpa" ]
1,024
768
Capillaritis with acute hemorrhage associated with milk allergy in an infant.
Capillaritis with acute hemorrhage associated with milk allergy in an infant. Image contributed by Dr. Yale Rosen - @yro854
Capillaritis-Acute hemorrhage - Milk allergy Case 107
fdb479777adcc3108a3a756b45e78384
1248010992
3735197608
https://live.staticflick…dc88d88e20_b.jpg
30950973@N03
hemorrhage
[ "pathology", "specimen", "lung", "microscopic", "photomicrograph", "capillaritis", "hemorrhage", "allergy", "allergicreaction", "milk" ]
640
480
Heiner syndrome (HS) is rare and is characterized by pulmonary hemorrhage and hemosiderosis that is triggered by allergy to cow’s milk that occurs primarily in infants under the age of one. It is one of the subtypes of pulmonary hemosiderosis. Its pathogenesis is not well understood but it is assumed to occur as the re...
Heiner syndrome (HS) is rare and is characterized by pulmonary hemorrhage and hemosiderosis that is triggered by allergy to cow’s milk that occurs primarily in infants under the age of one. It is one of the subtypes of pulmonary hemosiderosis. Its pathogenesis is not well understood but it is assumed to occur as the re...
Heiner syndrome -Capillaritis, hemorrhage, hemosiderosis
ff9ad20746b1a7fd490442d15104d79a
1666992517
52460673222
https://live.staticflick…ae48471388_b.jpg
30950973@N03
hemorrhage
[ "lung", "microscopic", "heiner", "syndrome", "hemorrhage", "hemosiderosis", "cowmilkallergy" ]
937
706
Deposition of iron and calcium within blood vessels in areas of hemorrhage may occur anywhere in the body. The term "endogenous pneumoconiosis" has been used in the literature to describe the deposition of these substances on the elastic fibers of the lung, usually in the setting of cardiac failure. It is a m...
Deposition of iron and calcium within blood vessels in areas of hemorrhage may occur anywhere in the body. The term "endogenous pneumoconiosis" has been used in the literature to describe the deposition of these substances on the elastic fibers of the lung, usually in the setting of cardiac failure. It is a m...
Blood vessel mineralization - (endogenous pneumoconiosis")
3e6d98d3ee5c47bc20d3ebd835c33b4f
1673726612
52626472317
https://live.staticflick…cac8eec283_b.jpg
30950973@N03
hemorrhage
[ "lung", "foreignbody", "endogenous", "mineralization", "microscopic", "endogenouspneumoconiosis", "hemorrhage", "misnomer" ]
1,024
768
Mild proliferation of neuroendocrine cells in a terminal bronchiole.
Mild proliferation of neuroendocrine cells in a terminal bronchiole.
Neuroendocrine cell hyperplasia
54b879f76b5bd2322864a1dcc14e20ad
1285325811
5019609127
https://live.staticflick…958d74a932_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "specimen", "pathology", "lung", "microscopic", "neuroendocrine", "hyperplasia", "neuroendocrine neoplasms and proliferations" ]
1,024
768
Proliferation of neuroendocrine cells in a terminal bronchiole.
Proliferation of neuroendocrine cells in a terminal bronchiole.
Neuroendocrine cell hyperplasia
63701cfe992d5e390fe6edb6b741c8ab
1285325808
5019609053
https://live.staticflick…9e46009031_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "specimen", "pathology", "lung", "microscopic", "neuroendocrine", "hyperplasia", "neuroendocrine neoplasms and proliferations" ]
1,024
768
Proliferation of neuroendocrine cells within a terminal bronchiole. Growth is intralumenal forming papillary-like structures.
Proliferation of neuroendocrine cells within a terminal bronchiole. Growth is intralumenal forming papillary-like structures.
Neuroendocrine cell hyperplasia
4623ef39eda6090b3190758ba9830a5a
1285325814
5019609181
https://live.staticflick…9f230d7cd6_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "specimen", "pathology", "lung", "microscopic", "neuroendocrine", "hyperplasia", "neuroendocrine neoplasms and proliferations" ]
1,024
768
Nests of neuroendocrine cells growing in an insular or organoid pattern surround a bronchiole. This lesion is less than 0.5 cm. in diameter. Lesions with identical appearance that are larger than 0.5 cm. are arbitrarily desgnated as typical carcinoid tumors.
Nests of neuroendocrine cells growing in an insular or organoid pattern surround a bronchiole. This lesion is less than 0.5 cm. in diameter. Lesions with identical appearance that are larger than 0.5 cm. are arbitrarily desgnated as typical carcinoid tumors.
Tumorlet
306d13230f355daaf6d5d3f78d66684e
1285325817
5019609263
https://live.staticflick…583260e8cf_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "specimen", "pathology", "lung", "microscopic", "neuroendocrine", "tumorlet", "neuroendocrine neoplasms and proliferations" ]
1,024
768
Nests of neuroendocrine cells growing in an insular or organoid pattern surround a bronchiole. This lesion is less than 0.5 cm. in diameter. Lesions with identical appearance that are larger than 0.5 cm. are arbitrarily desgnated as typical carcinoid tumors.
Nests of neuroendocrine cells growing in an insular or organoid pattern surround a bronchiole. This lesion is less than 0.5 cm. in diameter. Lesions with identical appearance that are larger than 0.5 cm. are arbitrarily desgnated as typical carcinoid tumors.
Tumorlet
6714e3d78ad8f6cf059c344372762cd4
1285325821
5020217278
https://live.staticflick…5347382506_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "specimen", "pathology", "lung", "microscopic", "neuroendocrine", "tumorlet", "neuroendocrine neoplasms and proliferations" ]
1,024
768
Although the insular/organoid proliferation of neuroendocrine cells comprising a tumolet is associated with a small airway, in this image the airway is undoubtedly nearby but not in the plane of the section. The presence of pulmonary arteries indicates that an airway is nearby.
Although the insular/organoid proliferation of neuroendocrine cells comprising a tumolet is associated with a small airway, in this image the airway is undoubtedly nearby but not in the plane of the section. The presence of pulmonary arteries indicates that an airway is nearby.
Tumorlet
b301b5a260fbbf43853fc7ea1516d2cc
1285325804
5020216824
https://live.staticflick…38f486ae29_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "specimen", "pathology", "lung", "microscopic", "neuroendocrine", "tumorlet", "neuroendocrine neoplasms and proliferations" ]
1,024
768
The neuroendocrine cells of this tumorlet exhibit nuclei with finely dispersed chromatin in a "salt and pepper" pattern. Nucleoli are absent or inconspicuous. Nuclei of this type may be seen in all of the neuroendocrine neoplasms with the exception of large cell neuroendocrine carcinoma.
The neuroendocrine cells of this tumorlet exhibit nuclei with finely dispersed chromatin in a "salt and pepper" pattern. Nucleoli are absent or inconspicuous. Nuclei of this type may be seen in all of the neuroendocrine neoplasms with the exception of large cell neuroendocrine carcinoma.
Tumorlet
27102a1a885926fa904d6e6784bb5edb
1285325790
5020216496
https://live.staticflick…ea7b19054a_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "specimen", "pathology", "lung", "microscopic", "neuroendocrine", "tumorlet", "neoplasm", "malignant", "neuroendocrine neoplasms and proliferations" ]
1,024
768
A very small nodular proliferation of neuroendocrine cells closely associated with airway epithelium.A lesion with this appearance is diagnosed as a tumorlet only if it measures less than 0.5 cm. Lesions with identifcal histology that are 0.5 cm. or larger are diagnosed as typical carcinoid tumors.
A very small nodular proliferation of neuroendocrine cells closely associated with airway epithelium.A lesion with this appearance is diagnosed as a tumorlet only if it measures less than 0.5 cm. Lesions with identifcal histology that are 0.5 cm. or larger are diagnosed as typical carcinoid tumors.
Tumorlet Case 111
e07f0d168eee9ef7fe01d760357f0ec5
1253222582
3929294935
https://live.staticflick…4a6f88d2bd_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "pathology", "specimen", "neoplasm", "microscopic", "photomicrograph", "tumorlet", "neuroendocrine", "neuroendocrine neoplasms and proliferations" ]
768
1,024
A very small nodular proliferation of neuroendocrine cells closely associated with airway epithelium.A lesion with this appearance is diagnosed as a tumorlet only if it measures less than 0.5 cm. Lesions with identifcal histology that are 0.5 cm. or larger are diagnosed as typical carcinoid tumors.
A very small nodular proliferation of neuroendocrine cells closely associated with airway epithelium.A lesion with this appearance is diagnosed as a tumorlet only if it measures less than 0.5 cm. Lesions with identifcal histology that are 0.5 cm. or larger are diagnosed as typical carcinoid tumors.
Tumorlet Case 111
d30d4e5ca3f309b35fd0686f1ab0ffc2
1253222570
3929294485
https://live.staticflick…2f6155d368_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "pathology", "specimen", "neoplasm", "microscopic", "photomicrograph", "tumorlet", "neuroendocrine", "neuroendocrine neoplasms and proliferations" ]
1,024
768
A very small nodular proliferation of neuroendocrine cells closely associated with airway epithelium.A lesion with this appearance is diagnosed as a tumorlet only if it measures less than 0.5 cm. Lesions with identifcal histology that are 0.5 cm. or larger are diagnosed as typical carcinoid tumors.
A very small nodular proliferation of neuroendocrine cells closely associated with airway epithelium.A lesion with this appearance is diagnosed as a tumorlet only if it measures less than 0.5 cm. Lesions with identifcal histology that are 0.5 cm. or larger are diagnosed as typical carcinoid tumors.
Tumorlet Case 111
fa522da1890be011d4e9d4059e0b808b
1253222576
3929294711
https://live.staticflick…9dc64af61e_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "pathology", "specimen", "neoplasm", "microscopic", "photomicrograph", "tumorlet", "neuroendocrine", "neuroendocrine neoplasms and proliferations" ]
1,024
768
This 5 mm. lesion is at the upper limit of size for the diagnosis of tumorlet. If it was larger the diagnosis would be "typical carcinoid". The nodule is mostly sclerotic with relatively few nests of neuroendocrine cells.
This 5 mm. lesion is at the upper limit of size for the diagnosis of tumorlet. If it was larger the diagnosis would be "typical carcinoid". The nodule is mostly sclerotic with relatively few nests of neuroendocrine cells.
Tumorlet
b3487a01c1e9bd55073ffd78679d4a7c
1310337503
5924046638
https://live.staticflick…57f5a27fd7_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "specimen", "pathology", "lung", "microscopic", "tumorlet", "neuroendocrine", "neuroendocrine neoplasms and proliferations" ]
1,024
768
This 5 mm.lesion is at the upper limit of size for the diagnosis of tumorlet. If it was larger the diagnosis would be "typical carcinoid". The nodule is mostly sclerotic with relatively few nests of neuroendocrine cells.
This 5 mm.lesion is at the upper limit of size for the diagnosis of tumorlet. If it was larger the diagnosis would be "typical carcinoid". The nodule is mostly sclerotic with relatively few nests of neuroendocrine cells.
Tumorlet Case 185
4f5862528da4a8d6ed900efcb4060332
1310337516
5923483103
https://live.staticflick…74ec04cde1_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "specimen", "pathology", "lung", "microscopic", "tumorlet", "neuroendocrine", "neuroendocrine neoplasms and proliferations" ]
1,024
768
This 5 mm.lesion is at the upper limit of size for the diagnosis of tumorlet. If it was larger the diagnosis would be "typical carcinoid". The nodule is mostly sclerotic with relatively few nests of neuroendocrine cells.
This 5 mm.lesion is at the upper limit of size for the diagnosis of tumorlet. If it was larger the diagnosis would be "typical carcinoid". The nodule is mostly sclerotic with relatively few nests of neuroendocrine cells.
Tumorlet Case 185
232253f2530fbefb74463ef0af80e989
1310337531
5923484039
https://live.staticflick…6faaea1b93_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "specimen", "pathology", "lung", "microscopic", "tumorlet", "neuroendocrine", "neuroendocrine neoplasms and proliferations" ]
1,024
768
Nests of neuroendocrine cells growing in an insular or organoid pattern within the wall of an airway. This lesion is less than 0.5 cm. in diameter. Lesions with identical appearance that are larger than 0.5 cm. are arbitrarily desgnated as typical carcinoid tumors.
Nests of neuroendocrine cells growing in an insular or organoid pattern within the wall of an airway. This lesion is less than 0.5 cm. in diameter. Lesions with identical appearance that are larger than 0.5 cm. are arbitrarily desgnated as typical carcinoid tumors.
Tumorlet
ff5224492bfe3ecc6bcf9ad721a8dd90
1336233149
7145277147
https://live.staticflick…068d482782_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "specimen", "pathology", "lung", "microscopic", "tumorlet", "neuroendocrine", "neuroendocrine neoplasms and proliferations" ]
1,024
768
Nests of neuroendocrine cells growing in an insular or organoid pattern within the wall of an airway. This lesion is less than 0.5 cm. in diameter. Lesions with identical appearance that are larger than 0.5 cm. are arbitrarily desgnated as typical carcinoid tumors.
Nests of neuroendocrine cells growing in an insular or organoid pattern within the wall of an airway. This lesion is less than 0.5 cm. in diameter. Lesions with identical appearance that are larger than 0.5 cm. are arbitrarily desgnated as typical carcinoid tumors.
Tumorlet
7ce53c658fb5691522910228b05e1824
1336233133
6999189570
https://live.staticflick…5164f5c280_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "specimen", "pathology", "lung", "microscopic", "tumorlet", "neuroendocrine", "neuroendocrine neoplasms and proliferations" ]
1,024
768
Nests of neuroendocrine cells growing in an insular or organoid pattern within the wall of an airway. This lesion is less than 0.5 cm. in diameter. Lesions with identical appearance that are larger than 0.5 cm. are arbitrarily desgnated as typical carcinoid tumors.
Nests of neuroendocrine cells growing in an insular or organoid pattern within the wall of an airway. This lesion is less than 0.5 cm. in diameter. Lesions with identical appearance that are larger than 0.5 cm. are arbitrarily desgnated as typical carcinoid tumors.
Tumorlet
da70703b9315d979ed11bf8fe97ccd32
1336233142
7145276785
https://live.staticflick…7c81071a09_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "specimen", "pathology", "lung", "microscopic", "tumorlet", "neuroendocrine", "neuroendocrine neoplasms and proliferations" ]
1,024
768
Carcinoid tumors are usually centraly located, arising in large airways. The arrow points to the tumor in the right hilar region.
Carcinoid tumors are usually centraly located, arising in large airways. The arrow points to the tumor in the right hilar region.
Carcinoid tumor, typical - Case 303
1c5224a6512a109d768554be1a856d02
1573165823
49030234728
https://live.staticflick…6a1bef5a57_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "carcinoid", "typical", "xray", "neuroendocrine neoplasms and proliferations" ]
1,024
839
This typical carcinoid exhibits an insular/organoid growth pattern with small, uniform nuclei containing finely granular chromatin, non-prominent nucleoli and no more than 2 mitoses/10 2 mm square high power fields.
This typical carcinoid exhibits an insular/organoid growth pattern with small, uniform nuclei containing finely granular chromatin, non-prominent nucleoli and no more than 2 mitoses/10 2 mm square high power fields.
Carcinoid tumor, typical - Case 303
4840b283ed0cf419dc0501adf19ed5c0
1573165822
49030234733
https://live.staticflick…ea2643c484_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "carcinoid", "typical", "microscopic", "neuroendocrine neoplasms and proliferations" ]
1,024
768
This typical carcinoid exhibits an insular/organoid growth pattern with small, uniform nuclei containing finely granular chromatin, non-prominent nucleoli and no mitoses.
This typical carcinoid exhibits an insular/organoid growth pattern with small, uniform nuclei containing finely granular chromatin, non-prominent nucleoli and no mitoses.
Carcinoid tumor, typical - Case 303
6864bb3265a10f20f22017402aa8ef5e
1573165821
49030739606
https://live.staticflick…4043d9c76b_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "carcinoid", "typical", "microscopic", "neuroendocrine neoplasms and proliferations" ]
1,024
768
This typical carcinoid exhibits an insular/organoid growth pattern with small, uniform nuclei containing finely granular chromatin, non-prominent nucleoli and no mitoses. The chromogranin immunostain typically marks these tumors. Other neuroendocrine markers are synaptophysin, CD56 & INSM1.
This typical carcinoid exhibits an insular/organoid growth pattern with small, uniform nuclei containing finely granular chromatin, non-prominent nucleoli and no mitoses. The chromogranin immunostain typically marks these tumors. Other neuroendocrine markers are synaptophysin, CD56 & INSM1.
Carcinoid tumor, typical - Chromogranin - Case 303
601c2c3f4b3e83e0cb4877730dd6cd00
1573165820
49030958997
https://live.staticflick…4b75aeb0b4_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "carcinoid", "typical", "microscopic", "immunostain", "chromogranin", "neuroendocrine neoplasms and proliferations" ]
1,024
768
Carcinoid tumor L. hilum
Carcinoid tumor L. hilum
Carcinoid tumor L. hilum
49dd4ebfd857040f3e9502c008a40ea6
1253288800
3931156757
https://live.staticflick…a203e0bd3c_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "carcinoid", "xray", "radiograph", "malignant", "cancer", "neuroendocrine", "neoplasm", "specimen", "pathology", "neuroendocrine neoplasms and proliferations" ]
827
657
Carcinoid tumor L. hilum
Carcinoid tumor L. hilum
Carcinoid tumor L. hilum
92967dd08bded3c6be6e4915b61578d9
1253288790
3931156287
https://live.staticflick…64788ed729_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "carcinoid", "xray", "radiograph", "malignant", "cancer", "neuroendocrine", "neoplasm", "specimen", "pathology", "neuroendocrine neoplasms and proliferations" ]
1,000
675
The red arrow points to a mass lesion occupying the lumen of the RUL main bronchus.
The red arrow points to a mass lesion occupying the lumen of the RUL main bronchus.
Typical carcinoid occupying RUL main bronchus - CT scan Case 195
7422af7b130e0bffd34d4c8d394003b7
1312230122
5998925371
https://live.staticflick…6b91dbe671_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "carcinoid", "typical", "ctscan", "neuroendocrine neoplasms and proliferations" ]
512
447
Carcinoid tumor
Carcinoid tumor
Carcinoid tumor
d6b301792e8a045fdf6a07889ab9dd09
1253288794
3931156509
https://live.staticflick…bbfbd1b98b_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "pathology", "specimen", "neoplasm", "gross", "macroscopic", "carcinoid", "malignant", "cancer", "neuroendocrine", "neuroendocrine neoplasms and proliferations" ]
605
525
This large polypoid tumor completely obstructs the lumen of a lobar bronchus with resulting severe, diffuse bronchiectasis distal to the obstruction.
This large polypoid tumor completely obstructs the lumen of a lobar bronchus with resulting severe, diffuse bronchiectasis distal to the obstruction.
Carcinoid tumor
c226f716b54e278fc636cceae77c2626
1253288798
3931156687
https://live.staticflick…0ebd3c9ce0_b.jpg
30950973@N03
bronchiectasis
[ "lung", "pathology", "specimen", "neoplasm", "gross", "macroscopic", "carcinoid", "bronchiectasis", "malignant", "cancer", "neuroendocrine" ]
720
984
Large, polypoid, tan neoplasm within the lumen of a major bronchus producing bronchial obstruction and obstructive pneumonia.
Large, polypoid, tan neoplasm within the lumen of a major bronchus producing bronchial obstruction and obstructive pneumonia.
Carcinoid tumor
0bb84be3582993fc9cb2b4321cd4047e
1253222599
3929295657
https://live.staticflick…f786cdb326_b.jpg
30950973@N03
bacterial infection pneumonia
[ "lung", "pathology", "specimen", "neoplasm", "gross", "macroscopic", "carcinoid", "pneumonia", "pneumonitis", "obstructive", "malignant", "cancer", "neuroendocrine", "bacterial infection/pneumonia" ]
652
1,024
Large, polypoid, tan neoplasm within the lumen of a major bronchus producing bronchial obstruction and obstructive pneumonia.
Large, polypoid, tan neoplasm within the lumen of a major bronchus producing bronchial obstruction and obstructive pneumonia.
Carcinoid tumor
fbf98b4a6ebf0e0f4b9adbba5a030405
1253288792
3931938300
https://live.staticflick…451c3ed3d7_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "pathology", "specimen", "neoplasm", "gross", "macroscopic", "carcinoid", "pneumonia", "pneumonitis", "obstructive", "malignant", "cancer", "neuroendocrine", "neuroendocrine neoplasms and proliferations" ]
636
1,000
Typical carcinoid
Typical carcinoid
Typical carcinoid
81bf9867e07cecc69ddebd2167afea4e
1267009493
4384711874
https://live.staticflick…a6e7388532_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "carcinoid", "typical", "gross", "macroscopic", "pathology", "neuroendocrine", "neoplasm", "malignant", "specimen", "neuroendocrine neoplasms and proliferations" ]
1,023
694
Peripheral typical carcinoid tumor - CT scan - Case
Peripheral typical carcinoid tumor - CT scan - Case 266
Peripheral typical carcinoid tumor - CT scan - Case 266
f05a68a0a039660738f09423c007b14d
1364057690
8583455406
https://live.staticflick…5c363c31bd_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "carcinoid", "typical", "peripheral", "ct", "neuroendocrine neoplasms and proliferations" ]
505
447
Needle core biopsy at low magnification exhibiting an organoid pattern of tumor growth with each of the tumor nests surrounded by a delicate fibrovascular membrane.
Needle core biopsy at low magnification exhibiting an organoid pattern of tumor growth with each of the tumor nests surrounded by a delicate fibrovascular membrane.
Peripheral typical carcinoid tumor - Case 266
2cc2099fc19c56a82c8907b8729f3d2e
1364057687
8582354651
https://live.staticflick…09f0c4b80a_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "specimen", "pathology", "microscopic", "carcinoid", "typical", "peripheral", "neuroendocrine neoplasms and proliferations" ]
1,024
768
Positive cytoplasmic staining for CD56.
Positive cytoplasmic staining for CD56.
Peripheral typical carcinoid tumor - CD56 immunostain - Case 266
a3915a4828d131e60f9877824c98807d
1364057645
8583453480
https://live.staticflick…b8d377e9d6_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "specimen", "pathology", "microscopic", "carcinoid", "typical", "peripheral", "neuroendocrine neoplasms and proliferations" ]
1,024
768
Typical carcinoid tumor
Typical carcinoid tumor
Typical carcinoid tumor
01e8bbefa3c651c956b44913d06aed63
1285325795
5020216628
https://live.staticflick…ceee99ea06_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "specimen", "pathology", "lung", "microscopic", "neuroendocrine", "carcinoid", "typical", "neoplasm", "malignant", "neuroendocrine neoplasms and proliferations" ]
1,024
768
Positive cytoplasmic staining for chromogranin.
Positive cytoplasmic staining for chromogranin.
Peripheral typical carcinoid tumor - Chromogranin immunostain - Case 266
28a5fc8f3a3b068fedb164f70809c9a9
1364057658
8583454048
https://live.staticflick…1d79e178b7_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "specimen", "pathology", "microscopic", "carcinoid", "typical", "peripheral", "neuroendocrine neoplasms and proliferations" ]
1,024
768
The tumor completely fills the lumenof a large bronchus, At this low magnification varied growth patterns are evident. Part of a bronchial cartilagenous ring is seen at the lower right.
The tumor completely fills the lumenof a large bronchus, At this low magnification varied growth patterns are evident. Part of a bronchial cartilagenous ring is seen at the lower right.
Typical carcinoid tumor
0a5411b89f0fb4a1d168352d92f48299
1285325800
5020216730
https://live.staticflick…757b29a15f_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "specimen", "pathology", "lung", "microscopic", "neuroendocrine", "carcinoid", "typical", "neoplasm", "malignant", "neuroendocrine neoplasms and proliferations" ]
1,024
768
A delicate capillary network surrounds the insular nests of tumor cells.
A delicate capillary network surrounds the insular nests of tumor cells.
Typical carcinoid, insular pattern
9d3ea862d2b987d44f35547645cfd871
1267009556
4383950383
https://live.staticflick…98430b4b90_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "carcinoid", "typical", "microscopic", "insular", "pathology", "neuroendocrine", "neoplasm", "malignant", "specimen", "neuroendocrine neoplasms and proliferations" ]
1,024
689
Nests of tumor cells with unifrom nuclei exhibiting a stippled chromatin pattern. There is no mitotic activity or necrosis.
Nests of tumor cells with unifrom nuclei exhibiting a stippled chromatin pattern. There is no mitotic activity or necrosis.
Typical carcinoid
37b1a88a7599a412d2bb8330014c5d8a
1253288800
3931156729
https://live.staticflick…0db665ccaa_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "pathology", "specimen", "neoplasm", "microscopic", "photomicrograph", "carcinoid", "malignant", "cancer", "neuroendocrine", "neuroendocrine neoplasms and proliferations" ]
1,000
652
The nuclei of the tumor cells are uniform with a stippled chromatin pattern. There is no mitotic activity or necrosis.
The nuclei of the tumor cells are uniform with a stippled chromatin pattern. There is no mitotic activity or necrosis.
Typical carcinoid
21643d59aa16384663278f5f67677213
1253288791
3931156341
https://live.staticflick…1b351a1ac7_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "pathology", "specimen", "neoplasm", "microscopic", "photomicrograph", "carcinoid", "malignant", "cancer", "neuroendocrine", "neuroendocrine neoplasms and proliferations" ]
1,000
640
Nests of uniform tumor cells with intervening capillaries. No mitotic activity or necrosis is present.
Nests of uniform tumor cells with intervening capillaries. No mitotic activity or necrosis is present.
Typical carcinoid tumor
961d7ae9ef275c0a704b24bb4fbec8b6
1253028647
3923395924
https://live.staticflick…f382dac2d7_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "photomicrograph", "microscopic", "lung", "pathology", "specimen", "neoplasm", "malignant", "cancer", "neuroendocrine", "neuroendocrine neoplasms and proliferations" ]
1,024
678
Typical carcinoid, trabecular pattern
Typical carcinoid, trabecular pattern
Typical carcinoid, trabecular pattern
861f4f008d850e0e6dd851cb21211ead
1267009516
4383949511
https://live.staticflick…eff653e4a9_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "carcinoid", "typical", "microscopic", "pathology", "neuroendocrine", "neoplasm", "malignant", "specimen", "neuroendocrine neoplasms and proliferations" ]
1,024
675
Typical carcinoid, trabecular pattern
Typical carcinoid, trabecular pattern
Typical carcinoid, trabecular pattern
9346f5f23239d0fa5e11f654725585c6
1267009462
4383948293
https://live.staticflick…bd76ab4525_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "carcinoid", "typical", "microscopic", "pathology", "neuroendocrine", "neoplasm", "malignant", "specimen", "neuroendocrine neoplasms and proliferations" ]
1,024
768
Trabeculae are separated by a prominent vascular network.
Trabeculae are separated by a prominent vascular network.
Typical carcinoid, trabecular pattern
f7161b6a5797088357ec849b5b8dba66
1267009507
4383949263
https://live.staticflick…9afe350a05_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "carcinoid", "typical", "microscopic", "pathology", "neuroendocrine", "neoplasm", "malignant", "specimen", "neuroendocrine neoplasms and proliferations" ]
1,024
675
Typical carcinoid, ribbon-like pattern
Typical carcinoid, ribbon-like pattern
Typical carcinoid, ribbon-like pattern
3bb2ba6327017cedeecd026368719bf8
1267009480
4384711596
https://live.staticflick…9f40a7e98b_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "carcinoid", "typical", "microscopic", "ribbonlike", "pathology", "neuroendocrine", "neoplasm", "malignant", "specimen", "neuroendocrine neoplasms and proliferations" ]
1,023
677
Typical carcinoid, follicular pattern
Typical carcinoid, follicular pattern
Typical carcinoid, follicular pattern
19f6e6c4ea7caab15ac19425a7ea1882
1267009561
4383950507
https://live.staticflick…7d4da9bc19_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "carcinoid", "typical", "microscopic", "follicular", "pathology", "neuroendocrine", "neoplasm", "malignant", "specimen", "neuroendocrine neoplasms and proliferations" ]
1,024
679
Typical carcinoid, follicular pattern
Typical carcinoid, follicular pattern
Typical carcinoid, follicular pattern
fe1aa91411fc23819302b6182930c9f3
1267009521
4383949631
https://live.staticflick…9852a3b67f_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "carcinoid", "typical", "microscopic", "follicular", "pathology", "neuroendocrine", "neoplasm", "malignant", "specimen", "neuroendocrine neoplasms and proliferations" ]
1,024
678
Some of the small follicular structures contain eosinophilic colloid material.
Some of the small follicular structures contain eosinophilic colloid material.
Typical carcinoid, follicular and glandular pattern
0a227d43f0ff1c40a187b04fde12a6a0
1267009551
4383950269
https://live.staticflick…f90e0e1f9f_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "carcinoid", "typical", "microscopic", "follicular", "glandular", "pathology", "neuroendocrine", "neoplasm", "malignant", "specimen", "neuroendocrine neoplasms and proliferations" ]
1,024
684
Many of the follicular structures contain an eosinophilic colloid material.
Many of the follicular structures contain an eosinophilic colloid material.
Typical carcinoid, follicular pattern
01c493d387539184533e3f36c532f9c4
1267009467
4384711338
https://live.staticflick…9c9c8e90fa_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "carcinoid", "typical", "microscopic", "follicular", "pathology", "neuroendocrine", "neoplasm", "malignant", "specimen", "neuroendocrine neoplasms and proliferations" ]
1,024
768
The follicular structures contain an eosinophilic colloid material resembling thyroid colloid..
The follicular structures contain an eosinophilic colloid material resembling thyroid colloid..
Typical carcinoid, follicular pattern
2813b25730a7257ac333df52b71cd91a
1267009464
4384711246
https://live.staticflick…2dacb71e06_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "carcinoid", "typical", "microscopic", "follicular", "pathology", "neuroendocrine", "neoplasm", "malignant", "specimen", "neuroendocrine neoplasms and proliferations" ]
1,024
768
Typical carcinoid, oncocytic
Typical carcinoid, oncocytic
Typical carcinoid, oncocytic
f9874d6fb7de0841975b4cec40f7320b
1267009499
4383949069
https://live.staticflick…765d33c27a_b.jpg
30950973@N03
neuroendocrine neoplasms and proliferations
[ "lung", "carcinoid", "typical", "microscopic", "pathology", "neuroendocrine", "neoplasm", "malignant", "specimen", "neuroendocrine neoplasms and proliferations" ]
1,024
768
End of preview.

BioMedFlickr

BioMedFlickr is a biomedical image–caption retrieval benchmark built from public Flickr pathology / microscopy albums. Each example is a single image paired with a cleaned English caption. The Hugging Face split matches the evaluation set used in the EVVLM retrieval notebook (dev_retrival-Copy1.ipynb): captions shorter than 10 characters after cleaning are dropped, leaving 7185 test pairs.

Images are stored as original JPEGs inside parquet files so the dataset viewer is enabled (~865 MB download).

Load

from datasets import load_dataset

ds = load_dataset("Alejandro98/BioMedFlickr", split="test")
print(ds)
print(ds[0]["caption"])
ds[0]["image"]

Columns:

column description
image JPEG image (datasets.Image)
caption cleaned caption used for retrieval
caption_raw original Flickr text before cleaning
title Flickr title
key shard sample id
date_uploaded Flickr upload timestamp
flickr_id Flickr photo id (when available)
url Flickr image URL (when available)
nsid Flickr owner nsid
category source album / caption file
tags Flickr tags
width, height original pixel size

Retrieval protocol

This is a 1-to-1 paired retrieval task. Encode every image and every cleaned caption, L2-normalize the embeddings, then use inner-product search (cosine). The relevant item for example i is the pair at the same index.

Reported metrics are Recall@k for k in {1, 10, 100, 1000}, in both directions:

  • Image-to-text: query with image embeddings against the caption index
  • Text-to-image: query with caption embeddings against the image index

Do not apply extra caption cleaning at eval time; caption is already the string used in the original notebook. Resize / normalize images with your model's own preprocess (the notebook used 224×224 only as a loader convenience; CLIP-style preprocessors already resize).

Minimal eval script (OpenCLIP + FAISS)

import numpy as np
import torch
import faiss
import open_clip
from datasets import load_dataset
from torch.utils.data import DataLoader

ds = load_dataset("Alejandro98/BioMedFlickr", split="test")

model_name, pretrained = "ViT-L-14", "openai"
model, _, preprocess = open_clip.create_model_and_transforms(
    model_name, pretrained=pretrained
)
tokenizer = open_clip.get_tokenizer(model_name)
device = "cuda" if torch.cuda.is_available() else "cpu"
model = model.to(device).eval()


def collate(batch):
    images = torch.stack([preprocess(ex["image"].convert("RGB")) for ex in batch])
    captions = [ex["caption"] for ex in batch]
    return {"image": images, "caption": captions}


loader = DataLoader(ds, batch_size=64, collate_fn=collate)

image_embeddings, text_embeddings = [], []
with torch.no_grad():
    for batch in loader:
        images = batch["image"].to(device)
        texts = tokenizer(batch["caption"]).to(device)
        ie = model.encode_image(images)
        te = model.encode_text(texts)
        ie = ie / ie.norm(dim=-1, keepdim=True)
        te = te / te.norm(dim=-1, keepdim=True)
        image_embeddings.append(ie.cpu().numpy())
        text_embeddings.append(te.cpu().numpy())

image_embeddings = np.concatenate(image_embeddings).astype("float32")
text_embeddings = np.concatenate(text_embeddings).astype("float32")


def recall_at_k(gallery, queries, ks=(1, 10, 100, 1000)):
    index = faiss.IndexFlatIP(gallery.shape[1])
    index.add(gallery)
    metrics = {}
    for k in ks:
        _, retrieved = index.search(queries, k)
        hits = np.array([i in row for i, row in enumerate(retrieved)])
        metrics[k] = float(hits.mean() * 100.0)
    return metrics


# image queries -> caption gallery  (image-to-text)
i2t = recall_at_k(text_embeddings, image_embeddings)
# caption queries -> image gallery  (text-to-image)
t2i = recall_at_k(image_embeddings, text_embeddings)

print("image-to-text R@k", i2t)
print("text-to-image R@k", t2i)

Recall@k is the fraction of queries whose paired index appears in the top-k neighbors. With ~7185 pairs, chance R@1 is about 0.014%.

The original notebook also reports a 95% t-interval around each recall. You can recover that from the per-query hit vector (hits above).

Using EVVLM

If you already have the evvlm package and a CLIP-style model_dict (model, tokenizer, preprocess, device):

from datasets import load_dataset
from torch.utils.data import DataLoader
from evvlm.inference.embedding.utils import process_image, get_features

ds = load_dataset("Alejandro98/BioMedFlickr", split="test")

def collate(batch):
    return {
        "image": [ex["image"].convert("RGB") for ex in batch],
        "caption": [ex["caption"] for ex in batch],
    }

dataloader = DataLoader(ds, batch_size=64, collate_fn=collate)
# then reuse generate_embeddings / get_top_k_metrics from the notebook

Construction

  1. Public biomedical Flickr albums were serialized as webdataset shards (jpg, txt, title, dateuploaded).
  2. Captions are cleaned with the notebook clean_caption rules (strip contribution / credit / HTML tails, collapse whitespace).
  3. Pairs whose cleaned caption is shorter than 10 characters are removed. That is the only example filter; it yields 7185 pairs.
  4. Original JPEG bytes are written to parquet (no 224 resize) together with Flickr metadata when a sidecar JSON exists.

Caption length on this split (from the notebook): median 78 characters (min 10, max 3287). CLIP token counts with ViT-L-14: median 23 (min 4, max 77).

Reference results

Numbers below come from dev_retrival-Copy1.ipynb on this same filtered set. The notebook labeled “image to text” as text queries against the image index (standard text-to-image) and “text to image” as image queries against the text index (standard image-to-text). We keep the notebook column names so CSV dumps stay comparable.

Recall is percent (higher is better).

model I2T* R@1 I2T R@10 I2T R@100 I2T R@1000 T2I* R@1 T2I R@10 T2I R@100 T2I R@1000
PMC-CLIP 0.026 0.142 1.382 13.017 0.000 0.181 1.175 12.965
BioMedCLIP 3.435 11.816 34.427 72.805 4.106 13.494 34.633 69.977
ViT-H-14-378-quickgelu / dfn5b 3.900 13.753 35.008 71.113 4.081 12.745 32.619 65.586
ViT-L-14 / DataComp XL CLIP 2.596 9.749 26.085 58.148 2.763 9.155 24.432 53.654
CPT ViT-L-14 (biomed continued pretrain) 4.148 15.143 38.344 76.785 4.134 13.751 36.089 72.053

*Notebook names: I2T = image to text (text → image gallery), T2I = text to image (image → text gallery).

License and source

Images and captions were collected from public Flickr albums (pathology, microscopy, and related biomedical photography). Flickr items keep their original photographer licenses; this repo does not re-license third-party photos. If you are a rights holder and want an image removed, open an issue on the dataset page.

Intended use is research evaluation of biomedical vision–language models, not clinical deployment.

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