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Disseminated Blastomycosis

Imaging findings

CT shows small and large pulmonary nodules alongside a denser mass-like area of consolidation in the right lower lobe, without significant pleural effusion or lymphadenopathy.

Key takeaways

Blastomycosis in immunocompromised hosts, such as solid organ transplant recipients, can present with a mix of disseminated nodules and localized mass-like consolidations. Unlike other fungal infections, it characteristically stays confined to the lungs or spreads hematogenously without causing prominent pleural effusions or lymphadenopathy.

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