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Disseminated Blastomycosis

Imaging findings

The patient presented with a miliary pattern of random lung nodules and confluent disease. Follow-up imaging 4 years later demonstrates extensive calcification of both the nodules and lymph nodes.

Key takeaways

Blastomycosis can present with a miliary pattern and, upon healing, may leave behind extensive calcified nodules and lymphadenopathy, mimicking other granulomatous diseases like histoplasmosis.

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