CTICasesChronic Progressive Pulmonary Blastomycosis with Cavitary Disease and Bronchiectasis
▶ Watch on YouTube — age-restricted, cannot embed here
Imaging findings
Initial radiographs and CT from 2012 show mass-like consolidation, significant volume loss in the upper lobes, emphysema, and dilated airways predominantly in the upper lobes. Follow-up radiographs and CT two years later demonstrate dramatic progression with severe bronchiectasis, extensive cavitary disease, spread of disease to the lower lobes, and fluid-filled cavities.
Key takeaways
Blastomycosis can present as a chronic, progressive lung infection leading to severe tissue destruction, cavitary disease, and bronchiectasis if left untreated, mimicking tuberculosis. Untreated cases, even initially mild-to-moderate, can evolve dramatically and may require aggressive therapy like amphotericin.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Fractured Tracheostomy with Airway DislodgementTrauma
- Tracheal LeiomyosarcomaNeoplastic
- Mycotic Pseudoaneurysm of the AortaVascular
- Persistent Pneumothorax Treated with Crimped Bronchial StentArtifact
- Hereditary Multiple Exostoses with Thoracic ManifestationsCongenital
- Severe Pulmonary Abscesses and Empyema due to Fusobacterium necrophorum (Lemierre's Syndrome)Infection
- Spontaneous Pneumothorax in Marfan SyndromeCongenital
- Primary Chest Wall ChondrosarcomaNeoplastic
See all cases from August 29, 2014 →