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Pulmonary Mucormycosis with Pulmonary Artery Invasion

Imaging findings

Chest radiograph reveals a new left apical nodule. CT demonstrates a dense focal nodule with a surrounding ground-glass halo, adjacent septal edema, and an irregular deformity of the adjacent left pulmonary artery indicating direct erosion and invasion.

Key takeaways

Mucormycosis is a highly aggressive, angioinvasive fungal infection that occurs in immunocompromised hosts, such as neutropenic patients with hematologic malignancies. Direct invasion of major vascular structures like the pulmonary artery is a critical prognostic finding that often precludes surgical resection due to high risk and anatomical complexity.

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