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Histoplasmosis Lymphatic Satellite Pattern

Imaging findings

MIP CT reconstruction shows a dominant calcified pulmonary nodule with multiple small satellite nodules tracking along the bronchovascular bundle to a calcified hilar node, demonstrating a classic lymphatic drainage pattern.

Key takeaways

The satellite nodule pattern and linear lymphatic tracking to calcified regional lymph nodes is highly characteristic of granulomatous fungal infections (especially histoplasmosis or coccidioidomycosis).

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