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Coccidioidomycosis

Imaging findings

Chest radiograph and CT show extensive bilateral peri-bronchial nodularity, dense consolidation in the left lower lobe, and small cavitary lucencies representing microabscesses. Cultures and DNA testing confirmed Coccidioides infection.

Key takeaways

Coccidioidomycosis can present as a severe, diffuse pneumonic process with microabscesses in immunocompromised or heavily exposed hosts. Gathering a geographic history is key, as symptoms can develop after leaving endemic zones.

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