Presentation
Febrile.
Patient Data
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New 3 cm nodule/mass in the apical segment right lower lobe. Findings are concerning for infection in this setting, and given the patient's immunosuppressed state a fungal etiology should be suspected.
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Focal region of consolidation in apical segment right lower lobe with halo of surrounding ground-glass opacity. No other pulmonary or mediastinal abnormality. Findings are concerning for invasive fungal infection such as angioinvasive aspergillosis.
Case Discussion
Prior chest radiograph 3 months to this chest radiograph was normal.
Typical CT appearance of invasive fungal infection in an immunosuppressed patient, with focal consolidation surrounded by ground-glass opacity (GGO). The GGO reflects adjacent pulmonary hemorrhage.
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