Table 1. Histopathology and Imaging Findings.
AFB, Acid-Fast Bacilli; CT, Computerized Tomography; PAS, Periodic acid-Schiff
S.No. | Investigation | Results |
1. | Shave biopsy of the lesion | |
Gross examination | 1.2 cm x 1 cm measuring pseudo vesicular plaque | |
Microscopy | Scattered granulomas with endospore-containing spherules, the largest showing central necrosis. Polarizing microscopy negative for bi-refringence | |
2. | Special stains | PAS stain confirmed the presence of Coccidioidomycosis. AFB stain was negative. |
3. | Chest CT | A lung nodule measuring 0.9 cm in the right middle lobe |
4. | Chest CT (6-month follow-up) | Stable nodule |
5. | Annual Mammogram | No signs of reoccurrence |