Z. Tariq

Specimen consists of 🇵🇰🇺🇸trainee pathologist with foci of #SurgPath #CytoPath┃Dominus illuminatio mea┃#MedHistory #MedEd #LittleThingsInLife ☔️ 🌄 ☕️ 🏊 ✈️

[Runjan Chetty @RunjanChetty]

Tumour embracing a local nerve. This is a…..

[Z. Tariq @TheLabDoc]

🚩Psammomatous calcification in ascitic fluid (Pap)
Lamellated concentric rings
Classically associated w/ serous carcinoma (ovary/Gyn tract)
Look for an epithelial component (supporting malignancy; peritoneal involvement)
Also consider RCC, PTC, other papillary
#PathTwitter

[Behnas Malek F.Z @malakbehnas]

🔬 Pleural biopsy

Can you make the diagnosis from one pic, or is it #TooFarToDiagnose?

#Pathology #PathTwitter

[Dan Graham @DanGrahamMD]

50s F duodenal polyp in 2nd portion. Thoughts?

#GIpath #PathTwitter #PathX

[Z. Tariq @TheLabDoc]

Spherule-thyroid FNA (DQ)
Round cohesive cluster of follicular cells forming 3D sphere ±colloid
Note bland nuclei, smooth contours
Supportive of benign Dx (contextual)

Contrast to microfollicles (<15 cells, scant colloid, tight sphere), suggesting follicular lesion
#PathTwitter

[Arkana Laboratories @arkanalabs]

What is this finding? In a young male patient with hematuria and hearing loss, what would be your top diagnosis?

#DiagnoseThis #pathology #renal #kidneypath #pathx #pathtwitter

[Dan Graham @DanGrahamMD]

30s M 8cm pelvic mass, not arising from any particular organ. Dx/ddx/IHC?

#PathTwitter #PathX

[Vasudev Prabhu🇮🇳 @DrVasudevPrabhu]

Herpes zoster on Tzanck smear prep ✅ 🔬 🦠
✅ Acantholytic cells: distinct Peri nuclear halo
✅ Multinucleated giant cells :3Ms: Multinucleation, Margination of chromatin and nuclear Moulding
#dermatopathology #dermatology #dermpath #pathology #pathX #PathTwitter #MedTwitter

[Z. Tariq @TheLabDoc]

Bubble-wrapped🫧 tumor cells of papillary RCC in a FNA kidney (DQ, CB)
Loosely cohesive papillary clusters of cells w/ round uniform nuclei, closely associated w/ foamy macrophages ±hemosiderin ±psammoma bodies
Workup: CK7, AMACR, CD10
MET mutations (hereditary form)
#PathTwitter

[Dan Graham @DanGrahamMD]

Organ?
Dx?

#PathX #PathTwitter

[Z. Tariq @TheLabDoc]

Phantom yeasts: treated Cryptococcus in CSF (Pap)
Note round empty spaces/halos (only capsule may remain post-Rx, major virulence factor), distorted yeast forms (poorly stained)
Minimal inflammation (immune compromise CD4 <100)
Mucicarmine, India ink (negative stain)
#PathTwitter

[Renal Path Labs @RenalPathLabs]

Potpourri of Post Tx infections!!
CMV, BKV, Mucor &Candida!!
Add images of infections you come across, in comments!!
#RenalBiopsy #NephTwitter #PathTwitter #RenalPathSociety #AskRenal #ISRTP #RenalPathLabsGurugram #PostTxInfections #PoojaMaheshwari

[Garima Rawat @Garima3103]

2/3 Thyroid mucor in a patient post Rx Tx

[Craig Horbinski @CraigHorbinski]

Metaplastic transformation of a #glioblastoma is relatively uncommon, but when it happens it's striking. Like this case, where the #GBM is transforming into bone. #pathology #neuropath #pathtwitter

[Z. Tariq @TheLabDoc]

A ser(i)ous identity crisis: Metastatic breast carcinoma in pleural fluid
Malignant epithelial cells distinct from mesos (look for clusters, loss of polarity, nuclear pleomorphism ±nucleoli)
Intracytoplasmic vacuoles or mucin
Origin workup: GCDFP-15, mammaglobin, ER
#PathTwitter

[Dr. Megha Lalcheta MD @megha_lalcheta]

50/post menopausal female, D&C material.
Mass present in anterior uterine wall.
Presents with bleeding, ascites, skeletal mets in d2-d3 vertebrae.

#Gynpath #Pathology #Pathresidents #PathX #Pathologists #Pathtwitter #Surgpath

[Sohayla Y. Dababseh @Sohayla_Yaseen]

A middle-aged female patient with a brain lesion, known to be medically free.
In this case, what should be our initial thoughts? And what is the top differential diagnosis?
#PathTwitter #Neuropath
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[Z. Tariq @TheLabDoc]

Submucosal syncytium: Granular cell tumor of esophagus
🔴Pseudoepitheliomatous hyperplasia of overlying mucosa (🚫SCC)
Granular eosinophilic cytoplasm (lysosomes)
Indistinct cell borders, ±interspersed blood vessels (🚫vascular lesions)
Schwann cell origin (S100+)
#PathTwitter

[AANP @neuropathology]

Ecchordosis Physaliphora, a hamartomatous lesion of notochord remnants. IHC identical to chordoma. Unlike chordoma it 1) Benign 2) No growth potential 3) No lobular architecture #pathx #pathtwitter
#neuropath #neuropathology #cnspathology

[Dan Graham @DanGrahamMD]

Seen in necrotizing granulation tissue in superficial arm mass of 20s F. Mysterious objects are lurking. Can you name them?

#fungus #PathX #PathTwitter #pathbugs