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TB granulomas are large and confluent, may show necrosis.
@ADamronMD @ALBoothMD @sbakhsh2 @Histopatolomon @lfwalkerlw @DrAhmedKalebi @DrFouzia8 @nandinipath

@kriyer68 @smlungpathguy @VijayPatho @drsys02 @Swathiprabhu5 @pathridle_susan @nandishvs * Reactive mesothelial cells can show atypia & proliferation spheres, however - knobby oultline

The most likely diagnosis of the above gross is: