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Disseminated Blastomycosis

Imaging findings

Initial presentation showed multiple cavities and fine, miliary-like ground-glass nodules. Following treatment and ARDS, residual non-descript fibrosis and volume loss were observed.

Key takeaways

Blastomycosis can present with significant cavitation and disseminate to cause severe alveolar damage/ARDS, even in non-immunocompromised patients.

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