The patient underwent percutaneous ultrasound-guided right supraclavicular node biopsy.

Histopathology

MICROSCOPIC DESCRIPTION: Sections show a lymph node replaced by non-necrotising granulomas composed of epithelioid histiocytes with occasional multinucleated giant cells, interspersed by a lymphocytic infiltrate. No necrosis is identified. The ZN, Gram and PAS special stains are negative for micro-organisms.

DIAGNOSIS: Non-necrotising granulomatous inflammation consistent with sarcoidosis. 

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