Review Question - QID 109624

A 35-year-old female presents to her primary care provider complaining of fever and cough with symptoms starting five days ago. She returned from a cruise to the Bahamas two weeks ago. She initially experienced fever and dyspnea with a productive cough with yellow-green sputum and noticed blood in her sputum one day ago which prompted her to visit the physician. The patient drinks 2-3 alcoholic beverages per day and has a 10 pack-year smoking history. Her temperature is 101°F (38.3°C), blood pressure is 130/70 mmHg, pulse is 100/min, and respirations are 23/min. On examination, the patient is diaphoretic with notable increased work of breathing. Rales are noted in the right middle lung zone. A chest radiograph is shown in Figure A. A biopsy of the lesion would likely reveal which of the following?