The patient has received several bronchoscopies with transbronchial biopsy and pathology revealed necrotizing granulomas.
 There is inflammation in the lungs 
(ROOT (S (S (NP (DT The) (NN patient)) (VP (VBZ has) (VP (VBN received) (NP (JJ several) (NNS bronchoscopies)) (PP (IN with) (NP (NP (JJ transbronchial) (NN biopsy)) (CC and) (NP (NN pathology)))))) (VP (VBD revealed) (S (VP (VBG necrotizing) (NP (NNS granulomas)))))) (. .)))
(ROOT (S (NP (EX There)) (VP (VBZ is) (NP (NP (NN inflammation)) (PP (IN in) (NP (DT the) (NNS lungs)))))))
( ( ( The patient ) ( ( has ( ( received ( several bronchoscopies ) ) ( with ( ( ( transbronchial biopsy ) and ) pathology ) ) ) ) ( revealed ( necrotizing granulomas ) ) ) ) . )
( There ( is ( inflammation ( in ( the lungs ) ) ) ) )