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Pulmonary Coccidioidomycosis Cavity

Imaging findings

Chest radiograph and CT show a solitary, thick-walled cavity in the left lung apex surrounded by small satellite nodules, in a patient with a history of travel to Arizona.

Key takeaways

Coccidioidomycosis is a fungal infection endemic to the southwestern United States. Pulmonary infection can result in thin- or thick-walled cavities, typically in the upper lobes. These cavities can mimic tuberculosis or lung cancer and can persist or lead to hemoptysis or rupture.

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