Correct!
5. Video-assisted thorascopic lung biopsy (VATS)
The transplant team was trying to make a decision whether to perform a heart transplant and so making a diagnosis was imperative. It would not be wrong to repeat the bronchoscopy with transbronchial biopsy but the rationale was that the previous biopsy was nondiagnostic and a repeat would probably also be nondiagnostic. Needle biopsy is usually for solitary pulmonary nodules and thoracic CT angiography is usually for abnormalities of the pulmonary blood vessels such as pulmonary embolism, AV malformation, etc.
The results of the histology from the VATS are shown in Figure 3.
Figure 2. Panels A and B: Low power view of H & E stained lung biopsy. Panel C: Higher power view of panel A.
Which of the following describe the biopsy? (Click on the correct answer to move to the next panel)