The following images are from a Papanicolaou-stained bronchoalveolar lavage obtained from a 70 year old man with increasing respiratory distress. His medical history is significant for hemodialysis-dependent end-stage renal disease and vasculitis (treated with cytoxan).
Diagnosis? (CLICK ON IMAGES TO ENLARGE)
Any thoughts on what the last image represents?
x400 original magnification
x600 original magnification
Many thanks to Dr. Steven Goodman for donating this case!