That's really instructive, but in the discussion, you kind of, you have options second and third and then you have, you know, image D, you know, why don't you just call it keep going with choice. You know, choice C shows this, choice D shows this, and so we're not optioning and look, you know, and the other is, would this patient come to a biopsy in order to sort out those four possibilities? Yeah, I mean, that's a good point. It's something that I thought about, but in trying to pull together, you know, the learning points of it, I don't know how else I would pull this one together. The main thing that I'm trying to show is the silicotic nodule piece and to recognize that. That's kind of where I started with and work backwards. And so, yeah, I mean, you could argue if it's a matter, I don't know where I would put a sentence, but it's a point well taken. Yeah, maybe I'm okay with kind of trying to sort of make the springboard into this fabulous learning, but I just don't want to make anyone think that the only way to get there, you know, would be by actual biopsy. So you could say, in this case, you know, the imaging and history are sufficiently specific and direct you to a diagnosis, but in many cases, this may be more ambiguous and you would have to sort out these possibilities. Is that okay? Yeah, no, perfect. I can insert that in that first paragraph and make it cogent. Yep. Is it worth putting arrows and showing the other path like the Masson body? I think it is. And the granulomas. It's, you know, unlike I know my fellow said there wasn't a lot of path on the past few years on the board. I researched this year. There was quite a bit, actually. Yeah. I don't know. Yeah. And that's what I heard, too, just kind of through the grapevine. So that's why I tried to do more path this time around. You may want to just, you know, just put the same path back in in the commentary so that, you know, if someone has, for example, the book or even even the online bank that they don't have to keep going back to look at the path in the question stem so that they can actually just see it again in the in the commentary. So it's right there. With an arrow. I was thinking. Yeah, exactly. With an arrow like to the mass. Yeah. So is there something besides the mass on bodies that you want pointed out or. Yeah. Plugs in. In. OK. Not a problem. And the granuloma. Like, even though it's easy, just just for consistency, the incorrect answers, you replay them in the commentary with an arrow. Yeah. So and now, you know, with each one of them, I'll I'll have to do like figure six figure seven figure eight just so that it's very specific in there. And well. Yeah, I'll I'll figure it out. I just need to go through it. I have three minor comments. One is, you know, I love the the choices with the histology and I did want to know whether I was right or wrong right away on this one. So if I know there's like this introductory paragraph and then you went down, but I really wanted to know what it was, maybe more so with other questions. So perhaps putting the correct answer up front on this one. The other one was just the last sentence in the first paragraph where it says specifically there are innumerable diminutive central lobular, et cetera, et cetera. Maybe grammatically it would be characteristic findings include innumerable diminutive nodules and actual classification. And then getting to the paragraph that starts with the third option, which is the second to last paragraph, you said this is often caused by infections. Do you want to mention that it could also be seen in, you know, inflammatory conditions like an atypical sarcoidosis, for example, where we do see a combination? Sure. Okay. Yeah, those are easy.

medical case presentation

images

biopsy

pathologies

presentation improvement