Autopsy Findings

Gross specimen: The lungs were heavy (R 2020 g, L 1950 g; normal 250 g apiece). This slice of the left lung shows multiple, grey consolidations of various size and shape scattered throughout both lobes. The bronchi appear patent but contained clear mucus. The parenchyma also has a glistening, mucoid appearance that is evident to the left of the main airway and elsewhere (highlights). Between the consolidations, lung parenchyma is somewhat firmer than normal. There is no evidence of fibrosis. Vessels are patent. What is the most likely diagnosis? Answer

Clinical summary Image 2

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Answer: Primary bronchioloalveolar carcinoma, but metastatic colon carcinoma is also a consideration with his history.

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