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Pulmonary Mucormycosis

Imaging findings

CT chest in a diabetic patient shows a mass-like consolidation with cavitation and direct invasion/occlusion of the left superior pulmonary vein. MRI brain shows secondary ring-enhancing lesions.

Key takeaways

Mucormycosis is a highly aggressive, angioinvasive fungal infection that classically occurs in poorly controlled diabetics or immunocompromised hosts. The fungus invades blood vessels, causing thrombosis, necrosis, and hematogenous dissemination (e.g., to the brain) via the pulmonary veins.

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