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Acute Blastomycosis

Imaging findings

A heterogeneous, lobulated consolidation with low-attenuation areas, minimal to no pleural effusion, and modest, non-prominent lymphadenopathy.

Key takeaways

Blastomycosis can mimic malignancy, but the absence of significant pleural effusion and disproportionately small lymph nodes helps distinguish it from typical bacterial pneumonia or histoplasmosis.

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