CTICasesBlastomycosis
Imaging findings
Chest radiograph and CT show extensive consolidative opacity and volume loss in the right lung with small pleural effusion and reactive, non-necrotic hilar and mediastinal lymph nodes, in a kidney transplant recipient presenting with fever and non-resolving pneumonia.
Key takeaways
Pulmonary blastomycosis typically presents as an extensive, mass-like consolidation. Unlike other endemic fungi, it has a notable lack of significant pleural effusions or massive necrotic adenopathy, and is an important consideration in immunocompromised patients with endemic exposure.
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