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Nocardiosis

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Imaging findings

The patient presented with a large abscess in the thigh, which grew Nocardia. Chest CT revealed a random distribution of miliary-sized nodules as well as larger confluent nodules and patchy consolidation, consistent with pulmonary nocardiosis.

Key takeaways

Nocardiosis can present with a wide spectrum of imaging findings, from miliary nodules to large, confluent consolidations. Always look for other focal infections (like soft tissue abscesses) when evaluating pulmonary findings consistent with Nocardia.

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