The patient went on to have a resection.
Macroscopic appearance
Multiple large masses of white to yellowish cheese-like appearance indicate caseous necrosis.
Histology
Serial sections examined from the specimen received reveal pieces of tissue showing multiple variable-sized granulomata. Each granuloma is formed of epithelioid macrophages, lymphocytes, and a few Langerhans giant cells. There are wide areas of caseous necrosis. No evidence of malignancy in the serial sections examined.