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Calcified Histoplasmomas

Imaging findings

Radiograph and CT show pulmonary histoplasmomas with chunky calcification and additional benign-appearing calcified nodules. There are numerous associated splenic calcifications.

Key takeaways

Chronic histoplasmosis characteristically leaves calcified pulmonary granulomas (histoplasmomas), and the accompanying splenic calcifications are a helpful confirmatory clue to prior disseminated histoplasma exposure. The chunky calcification pattern is typical of these benign healed lesions.

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