M326: 1. Left humerus

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Clinical history : A 45 years old male had stridor for two weeks.
At admission into hospital laryngeal narrowing, enlarged axillary and inguinal lymph nodes and cardiomegaly was present.
X-ray examination showed cavities in the left upper humerus and the bones of the right ankle.
Raised ulcerating skin lesions were seen.
The condition of the patient deteriorated and he died of terminal bronchopneumonia
Autopsy findings : 1. Massive lymphadenopathy with sinus histiocytosis affecting the lymph glands, bones, subcutaneous tissue and submucosa of larynx.
2. Atrial septa/ defect with right ventricular hypertrophy.
3. Confluent bronchopneumonia
Diagnosis: Massive lymphadenopathy with sinus histiocytosis and terminal bronchopneumonia

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