. Case presentation A 56-year-old truck driver presented with a chronic cough that started six weeks earlier and produced scant bloody sputum. Previous antibiotic treatments had been unsuccessful. Hilar adenopathy and a persistent round consolidation were visible in chest radiography and were confirmed by CT. Bronchoscopy was done; however, sputum cultures were negative.
The presence of atypical cells in cytology raised the concern for cancer. A PET scan further established the suspicion of cancer. During lobectomy, a surgical misadventure led to the accidental removal of the entire lung, adding to the concerns of the patient. The pathologist, however, had interesting observations. Medical history Hypertension Chronic obstructive pulmonary disease Corticosteroid inhalation Smoker (1 pack daily) Had pets (a cat and a dog) No known infectious disease exposure Physical examination…