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Coccidioidomycosis with Eosinophilic Pleural Effusion

Imaging findings

Mediastinal and hilar lymphadenopathy with scattered nodules and a large eosinophilic pleural effusion.

Key takeaways

Fungal infections, particularly Coccidioidomycosis, can present with eosinophilic pleural effusions and should be considered in patients with unexplained thoracic findings, even in non-endemic regions like the Pacific Northwest.

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