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Foamy Alveolar Macrophage
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Foamy Alveolar Macrophage

A high power view of an alveolar space.
Numerous inflamatory cells are seen
The arrow points to a large cell with abundant, light pink cytoplasm and a central, vesicular nucleus.
The cell also contains many dark carbon granules.
This is an alveolar macrophage.
(Description By:T.V. Rajan, M.D. )
(Image Contrib. by:T.V. Rajan, M.D. UCHC )
Normal
Etiology

Not applicable
Pathogenesis

Not applicable,
Epidemiology

Not applicable
General Gross Description

Weight 250-350 grams each
Soft, well aerated (crepitant), pink tan
Often tracing of black carbon pigment in macrophages outlining the subpleural lymphatics
General Microscopic Description

Bronchi, containing cartilage in their walls, branch to form bronchioles, lacking cartilage, ending in terminal bronchioles which give rise to respiratory bronchioles and then alveoli
Clara cells increase and goblet cells decrease progressing down the bronchial divisions.
Other cells include Kulchitsky (neuroendocrine cells) and ciliated columnar cells
Alveolar membrane includes type 1 pneumocytes, alveolar basement membrane, capillary basement membrane, and endothelial cells.
Clinical Correlation

Not applicable
References

Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th edition. Philadelphia, W.B. Saunders, 1994, pp. 673-674
Normal
Synopsis by: Melinda Sanders M.D. (T28000M00100)[124]
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