CTICasesBlastomycosis (Lobar Consolidation)
▶ Watch on YouTube — age-restricted, cannot embed here
Imaging findings
A patient with a cough and fever presents with an area of dense consolidation in the superior segmental lower lobe, demonstrating air bronchograms. Mild hilar lymphadenopathy and a tiny pleural effusion are also noted. The consolidation did not respond to conventional antibiotic therapy.
Key takeaways
Blastomycosis is a fungal infection that frequently mimics community-acquired bacterial pneumonia or even malignancy. Key features suggestive of blastomycosis include lobar consolidation that fails to respond to antibiotics, mild hilar lymphadenopathy, and a typically minimal pleural effusion. This infection is common in endemic areas associated with water sources, particularly in the Midwest region.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Pulmonary Veno-Occlusive Disease (PVOD) secondary to Systemic SclerosisAutoimmune
- Pulmonary Capillary Hemangiomatosis (PCH)Vascular
- Congenital Absent PericardiumCongenital
- Calcified Pleuralith (Pleural Mouse)Metabolic
- Pulmonary Artery Aneurysm in Beckwith-Wiedemann SyndromeCongenital
- Iatrogenic Tension Pneumothorax due to Malpositioned Heimlich ValveIatrogenic
- Juxtaposed Atrial AppendagesCongenital
- Recurrent Strongyloides Infection (Migratory Eosinophilic Pneumonia)Infection
See all cases from May 19, 2016 →