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Nocardia transvalensis pneumonia

Imaging findings

CT scan of a patient with CLL and opportunistic infection shows bilateral, large, mass-like consolidations and round parenchymal opacities, with some beginning to cavitate.

Key takeaways

Pulmonary nocardiosis is an opportunistic infection in immunocompromised hosts, such as those with CLL. It presents radiographically as large mass-like consolidations or nodules that often cavitate. Identifying the specific species, such as Nocardia transvalensis, is crucial due to differing antibiotic susceptibility patterns.

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