Sanjay Mukhopadhyay's Avatar

Sanjay Mukhopadhyay

@smlungpathguy.bsky.social

I'm a pathologist (thoracic pathology), skeptic and opponent of groupthink

1,086 Followers  |  791 Following  |  147 Posts  |  Joined: 19.11.2024  |  1.7908

Latest posts by smlungpathguy.bsky.social on Bluesky


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To open 2026, here is one of the rarest findings in a lung biopsy: fruiting body of Rhizopus (confirmed by PCR)

#pathology #pulmpath #pathbugs #pathsky

To read how these fruiting bodies differ from those of Aspergillus, click here:
journals.sagepub.com/doi/10.1177/...

03.01.2026 20:29 β€” πŸ‘ 6    πŸ” 6    πŸ’¬ 0    πŸ“Œ 0
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Image of the Week!

Contributed by: Maria Tretiakova, M.D., Ph.D
Textbook topic: Kidney tumor
Diagnosis: TFEB rearranged RCC
Textbook topic link: www.pathologyoutlines.com/topic/kidney...

#Pathology #PathologyOutlines #PathSky

07.01.2026 19:04 β€” πŸ‘ 3    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
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My first post on this platform. Hope I am not messing this up, but here it goes...
This is for neuroendocrino-philes here:

Excited to share the latest paper from our group on lung carcinoids.
onlinelibrary.wiley.com/doi/10.1111/...
pubmed.ncbi.nlm.nih.gov/41489019/

06.01.2026 04:46 β€” πŸ‘ 5    πŸ” 3    πŸ’¬ 1    πŸ“Œ 0
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The best thing you learn from the worst time of your life is that you get to see the true colors of everyone.

#Thoughtoftheday
#Wednesdaythought

07.01.2026 13:28 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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The countdown begins! Only 15 days to go!! I hear some folks are not only attending but staying for the full week! So much to do, great hotel, and great weather!

#pathsky

Register here:
www.clevelandclinicmeded.com/live/courses...

08.01.2026 09:09 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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To open 2026, here is one of the rarest findings in a lung biopsy: fruiting body of Rhizopus (confirmed by PCR)

#pathology #pulmpath #pathbugs #pathsky

To read how these fruiting bodies differ from those of Aspergillus, click here:
journals.sagepub.com/doi/10.1177/...

03.01.2026 20:29 β€” πŸ‘ 6    πŸ” 6    πŸ’¬ 0    πŸ“Œ 0
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3 weeks to go! There's still time to sign up!!

clevelandcliniclabs.com/register-now...

#pathsky

29.12.2025 19:57 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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Paracoccidioides venezuelensis dimorphism

03.11.2025 01:26 β€” πŸ‘ 4    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
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Direct examination with clorazol Black 400X of bronchial sample: hyaline hyphae suggestive of Aspergilosis

17.12.2025 01:06 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0
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β€œWorst drug ever. Makes you smell bad, kills you, and doesn’t get you high.”

23.11.2025 04:34 β€” πŸ‘ 279    πŸ” 49    πŸ’¬ 35    πŸ“Œ 2
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journals.sagepub.com/doi/10.1177/...

15.12.2025 23:53 β€” πŸ‘ 3    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
Preview
Sage Journals: Discover world-class research Subscription and open access journals from Sage, the world's leading independent academic publisher.

#pathsky

journals.sagepub.com/doi/10.1177/...

12.12.2025 18:32 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Let's all do whatever we can to encourage smokers to quit & others to never start. 🚭🚭🚭

06.12.2025 05:28 β€” πŸ‘ 137    πŸ” 28    πŸ’¬ 10    πŸ“Œ 6

First described by Dr. Anna-Luise Katzenstein

06.12.2025 21:15 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Mid-40’s male w/nasal obstruction

Dx: allergic fungal sinusitis (polyps not shown)

πŸ“Έ layering of mucin, cellular debris, degranulated eosinophils & inflammatory cells
πŸ“Έ Charcot-Leyden crystals (arrows)
πŸ“Έ occasionally fungal forms visible on H&E (arrow)
πŸ“Έ fungus readily highlights w/GMS
#PathSky

02.12.2025 00:24 β€” πŸ‘ 4    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0
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This fungal yeast was called Histoplasma on biopsy. This diagnosis was later confirmed by cultures. How often does this approach go wrong?

#pathsky #idpath

Read more here in @IJSPjournal :
journals.sagepub.com/doi/10.1177/...

06.12.2025 21:09 β€” πŸ‘ 8    πŸ” 4    πŸ’¬ 0    πŸ“Œ 0
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This fungus looked exactly like Aspergillus but turned out to be Pseudallescheria (by microbiologic cultures). How should such cases be worded?

Read more here in Int J Surg Pathol:
journals.sagepub.com/doi/10.1177/...

#pathsky #fungal #idsky #pathology #pulmpath

04.12.2025 19:39 β€” πŸ‘ 4    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
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Case of the Month: A 2 year old boy presents to his pediatrician with pallor, fatigue and shortness of breath when playing. He lives with his parents and 4 siblings on a dairy farm.

Access the rest of the clinical history and more via the link in comments.

#Pathology #PathologyOutlines #PathSky

24.10.2025 18:07 β€” πŸ‘ 7    πŸ” 4    πŸ’¬ 1    πŸ“Œ 0
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πŸ“Έ frozen section, tumor capsule
πŸ“Έ frozen section, epithelial cells (ducts) and myoepithelial cells
πŸ“Έ frozen section, nests of myoepithelial cells in myxochondroid matrix

Dx: pleomorphic adenoma

#Pathsky

21.11.2025 16:21 β€” πŸ‘ 5    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0
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Frozen-section-Friday:

Adult with 2 cm parotid mass sent for intraoperative consultation

πŸ“Έ: solitary, largely circumscribed, cut surface w internal heterogeneity
πŸ“Έ: touch prep - monotonous cells (myoeps) w/i basophilic matrix
πŸ“Έ: low mag nodule contour at frozen section

…next

#PathSky #ENTsky

21.11.2025 15:40 β€” πŸ‘ 6    πŸ” 3    πŸ’¬ 1    πŸ“Œ 0
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Reduce variability and inconsistency in your approach to #amyloidosis diagnosis and laboratory workup! New #CAPguideline: brnw.ch/21wXMU6

#pathsky #pathology #CAPGuidelines

24.11.2025 21:13 β€” πŸ‘ 5    πŸ” 4    πŸ’¬ 0    πŸ“Œ 0
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So many eosinophils in this case of tubulointerstitial nephritis secondary to recent antibiotic administration. Few tiny granulomas as well. Eos seen in EM as well. #renalpath #pathsky #nephsky

26.11.2025 23:51 β€” πŸ‘ 13    πŸ” 8    πŸ’¬ 0    πŸ“Œ 0
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Thanksgiving reminder… βš–οΈ

26.11.2025 16:12 β€” πŸ‘ 6    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0

🀣🀣🀣🀣

27.11.2025 11:54 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Yes! The Davis/Thompson Foundation provides the infrastructure and storage for several veterinary Pathology groups; in return, they make their slides available at no charge.

25.11.2025 12:23 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0
Noah’s Arkive – The Davis-Thompson Foundation

We also have one of the largest repositories of veterinary gross pathology images freely available as well:
davisthompsonfoundation.org/noahs-arkive/

25.11.2025 13:16 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

Thank you! πŸ™πŸΎ

26.11.2025 19:24 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Such a nice case! Thank you for sharing your expertise!

25.11.2025 13:19 β€” πŸ‘ 3    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0

Wow the WSI is spectacular! Open access?

25.11.2025 12:15 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
Digital Slide Viewer – The Davis-Thompson Foundation

We see those!

Mucicarmine highlights these beautifully.

22.11.2025 12:52 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0

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