Dear All, Attached is the *Question Sheet *for Diagnostic Exercise #*267 *contributed by Carolina Fontana1, Luan Henker2, Rachel Neto2 1União Dinâmica de Faculdades Cataratas, Foz do Iguaçu, PR, Brazi. 2Department of Pathobiology, Auburn University, Auburn, AL, USA *Corresponding author*: *rtn0004@auburn.edu <rtn0004@auburn.edu>* The Diagnostic Exercises are an initiative of the Latin Comparative Pathology Group (LCPG), the Latin American subdivision of The Davis-Thompson Foundation. Members and non-members from any country of residence may contribute to these exercises. Please consider contributing a case to this initiative. It doesn't have to be unusual, and all pathology subspecialties are welcome! Please consult instructions on how to format and submit your DE at https://davisthompsonfoundation.org/diagnostic-exercises-instructions/ Previous cases are available at https://davisthompsonfoundation.org/diagnostic-exercise/