CTICasesDisseminated Coccidioidomycosis mimicking metastatic cancer
Imaging findings
CT shows pleural-based miliary nodules, bulky mediastinal lymphadenopathy, and multiple destructive osteolytic lesions involving the scapula, ribs, and spine in a young patient.
Key takeaways
Disseminated coccidioidomycosis can present with diffuse nodules, lymphadenopathy, and lytic bone lesions, closely mimicking metastatic malignancy. It is a critical differential diagnosis in patients from endemic areas (such as the Central Valley of California).
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