CTICasesCoccidioidomycosis
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Imaging findings
A nodule in the right apex, identified on both chest radiograph and CT. CT demonstrated the apical nodule with smaller adjacent nodules and a pattern consistent with lymphatic drainage, including calcification within the primary nodule.
Key takeaways
This case presents a classic imaging appearance of coccidioidomycosis, particularly common in endemic regions like Arizona. The presence of a parenchymal nodule with associated smaller "satellite" nodules and lymphatic involvement, along with calcification, is highly suggestive of this fungal infection. It is diagnostically important to differentiate this from other granulomatous diseases like histoplasmosis in other geographic areas.
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