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Pulmonary Nocardiosis in a post-transplant patient

Imaging findings

CT scan of a bone marrow transplant recipient shows a dense middle lobe consolidation with central necrosis/cavitation, lacking prominent air bronchograms.

Key takeaways

Nocardia is a filamentous bacterium that behaves like a fungus on imaging, presenting as dense, necrotic, or cavitating nodules and masses. It is a recognized pathogen in immunocompromised hosts, particularly after neutrophil recovery.

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