CTICasesPulmonary Coccidioidomycosis
Imaging findings
CT chest shows left upper lobe consolidation, surrounding centrilobular nodules, and mild mediastinal lymphadenopathy. The patient also presented with erythematous skin lesions and had a history of travel to Southern California.
Key takeaways
Coccidioidomycosis (valley fever) can present as an acute lobar pneumonia or nodular lung disease. A key diagnostic clue is the association with systemic findings like erythema nodosum or skin lesions, particularly in travelers returning from endemic areas in the US Southwest.
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