CSF

61/m H/0 massive pleural effusion.. cytology was of inflammatory smear Now pt is disoriented.. CSF for cytology Protein n glucose in normal range Colorless n clear CSF

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Pyogenic meningitis... likely. Sug. Csf culture

Higher magnification images of 2nd slide.Advised Cell block.

Looks Pyogenic meningitis Do CSF culture

positive for malignant cells. Any clinical history available?

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