You are answering a USMLE-style medical question. Question: A 38-year-old nursing home worker presents to the clinic with complaints of fever, loss of appetite, fatigue, and productive cough for the past couple of months. His fever is low-grade and sputum is often blood-tinged. He has lost 6.8 kg (15.0 lb) during this period and complains of profound night sweats. A plain radiograph of the patient’s chest shows consolidation in the apical part of the right lung. Baseline investigations show the following: Complete blood count Hemoglobin 11 g/dL White blood cells Total count 16,000/mm3 Differential count Neutrophils 35% Lymphocytes 54% Eosinophils 11% Erythrocyte sedimentation rate 84 mm The physician suspects that the patient is suffering from a chronic lung infection. Which of the following statements best describes the type of lung inflammation in this patient? Options: A) There are small granulomas with few epithelioid cells along with fibrosis. B) It has a granuloma with Anitchov cells around a core of fibrinoid collagen necrosis. C) It consists of a largely circumscribed granuloma with epithelioid cells with Langhans cells. D) This type of granulomatous inflammation is also seen in histoplasmosis. Reply with ONLY the letter of the correct answer (A, B, C, or D). No explanation.

C
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