CTICasesDisseminated miliary Blastomycosis
Imaging findings
CT scan shows diffuse, tiny miliary nodules throughout both lungs, a focal left lower lobe consolidation with cavitation, and a small pericardial effusion.
Key takeaways
In contrast to localized pneumonia, Blastomycosis can present as a disseminated miliary infection, particularly in immunocompromised individuals. Unlike other miliary fungal infections (like histoplasmosis), it is more prone to severe respiratory failure.
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