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Will Perry

@wrpears.bsky.social

182 followers 138 following 13 posts

Pulmonary / Head & Neck Pathologist @UMichPath @UMichMedicine. Mostly here to look at tumors and medical lung cases. Opinions and thoughts are my own.

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Will Perry @wrpears.bsky.social · 13/12/2024

Dx: Polymorphous Adenocarcinoma

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Will Perry @wrpears.bsky.social · 12/12/2024

Great example of a classic #ENTPath / #OralPath diagnosis. #PathSky

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Reposted by Will Perry

Katrina Collins || Pathologist @katcollmd.bsky.social · 12/12/2024

👩🏻‍💻 #readinglist #pathreads ✅ various lesion types and challenges in diagnosis due to morphological similarities ➡️ clinical correlation ✅ prognosis and treatment ➡️ understanding of molecular drivers continues to grow 📄 pubmed.ncbi.nlm.nih.gov/38244070/

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Reposted by Will Perry

Matthew Taber @matthewtaber.bsky.social · 10/12/2024

Thank you #SenBlumenthal for investigating insurance companies' use of #AI to deny claims for profit. Your report exposes how major insurers exploit AI to boost profits by denying care. #Healthcare #MedicareAdvantage #AIethics #PatientRights #UnitedHealthcare

hsgac.senate.gov

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Will Perry @wrpears.bsky.social · 05/12/2024

That was my first conclusion until I found the area with endospores inside a spherule along with the adjacent hyphal forms with morphology of "alternating arthroconidia" (i.e. alternating ovoid, bulbous segments and straight segments). Luckily for you they're uniquely American diseases! 🙃

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Will Perry @wrpears.bsky.social · 05/12/2024

This is a case of Coccidioides immitis (!) infection (PCR-confirmed per treating physician request). On follow-up questioning the patient had a travel history to the southwestern US. Very easy to mistake for Blastomyces dermatitidis if all you see is the morphology in the lower left of this image.

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Will Perry @wrpears.bsky.social · 05/12/2024

🙏

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Will Perry @wrpears.bsky.social · 05/12/2024

Woman in her 50s from the midwest with RLL mass. What species? #IDSky #SkyPath #MicroSky #PulmPath

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Will Perry @wrpears.bsky.social · 05/12/2024

would love to be added too thanks!

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Will Perry @wrpears.bsky.social · 05/12/2024

Juxtaoral organ of Chievitz that was too good not to share. Should be (incidentally) found in sections containing muscle/fascia medial to the medial pterygoid muscle, so often seen in larger mandibular or buccal SqCC resections. #ENTPath #OralPath #PathSky

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Will Perry @wrpears.bsky.social · 22/11/2024

Clinical: SoB and cough, PFTs show obstructive pattern Rad: Air trapping/mosaic attenuation; no interstitial infiltrates Causes: Lung or bone marrow transplant (alloimmunity), CTDs - especially RA (autoimmunity), drugs, infections, and certain fume exposures Prognosis: Poor 2/2

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Will Perry @wrpears.bsky.social · 22/11/2024

Dx: Constrictive (obliterative) bronchiolitis (CB). Circled in blue are the hallmark lesions of CB - subepithelial fibrosis with luminal narrowing/obliteration of small airways (+/- some chronic inflammation). The alveolated lung parenchyma is essentially normal. 1/2

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Will Perry @wrpears.bsky.social · 21/11/2024

history of rheumatoid arthritis and has been on a number of immunosuppressive therapies for it over the years

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Will Perry @wrpears.bsky.social · 21/11/2024

Didn't have access to the the images, but the report summary was "nonspecific interstitial changes with a mild apical predominance"

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Will Perry @wrpears.bsky.social · 21/11/2024

Alright, let's see what this #PathSky is all about. Gotta start with medical lung of course. Woman in her 50s with progressive shortness of breath that she first noticed a year ago; underwent wedge biopsies for diagnosis. (& unfortunate tissue wrinkles/folds). #Pathology #PulmPath #Pulmonology

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