CTICasesPrimary Coccidioidomycosis with Cavitation
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Imaging findings
Chest radiograph initially shows peripheral consolidation. Follow-up CT weeks later reveals cavitation within the consolidated area, surrounding stranding, and smaller peripheral nodules. Associated findings include airways disease, emphysema, ground glass opacities, respiratory bronchiolitis, and lymphadenopathy. There is also a large pulmonary artery, suggesting pulmonary hypertension.
Key takeaways
This case demonstrates the typical progression of primary Coccidioidomycosis (coxy) from a community-acquired pneumonia-like presentation to characteristic cavitation. The presence of associated lymphadenopathy and potential pulmonary hypertension highlights the varied manifestations and complications of this endemic fungal infection.
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