CTICasesDisseminated Cryptococcosis in an Immunosuppressed Patient
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Imaging findings
Central peribronchovascular areas of nodular consolidation, ground-glass opacity, discrete nodules, and somewhat thick-walled cavities confluent with the airways are seen. Patchy ground glass and consolidation are also present in the lower lobes. Additionally, the patient presented with large, raised plaques along the upper extremities, particularly the right upper extremity.
Key takeaways
The patient had a complex medical history including neuro sarcoidosis, hypopituitarism, and Sjogren's syndrome, and was on immunosuppressive drugs. Both lung and skin biopsies surprisingly revealed disseminated cryptococcosis. This presentation was unexpected given the patient's underlying conditions and immunosuppression, making it a challenging diagnosis.
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