CTICasesDisseminated Candidiasis with Miliary Pulmonary Nodules
Imaging findings
A chemotherapy patient develops innumerable small pulmonary nodules distributed diffusely throughout both lungs, many abutting the pleural surface in a random, miliary, blood-borne pattern; no low-attenuation splenic lesions are identified.
Key takeaways
A miliary, randomly distributed pattern of innumerable small lung nodules with peripheral predominance favors hematogenous fungemia rather than angioinvasive Aspergillus, and blood cultures here grew Candida tropicalis -- Candida should be favored over Aspergillus when nodules are this numerous and diffusely random rather than focal and angiocentric.
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