Presentation
Fatigue, hypotension, hypoxia. Past history CLL.
Patient Data
Age: 63
Gender: Male
From the case:
Pulmonary norcadosis
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Right basal consolidation and pleural effusion with nodules throughout the remainder of the lung.
From the case:
Pulmonary norcadosis
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Extensive right lower lobe consolidation and small area of left basal consolidation. Ground-glass changes and small pleural effusions bilaterally.
Numerous new pulmonary nodules throughout both lungs, the largest of which is in the left upper lobe (20 x 18 x 18mm) with possible early cavitation.
No pulmonary embolus identified down to the subsegmental level.
Previous splenectomy.
Case Discussion
Blood cultures grew Nocardia spp. and this is presumed cause of the pneumonia.
Nocardia most commonly occurs in immunosuppressed patients (as in this case).
Findings on CT include:
- pulmonary consolidation (most common)
- multiple pulmonary nodules of varying size (cavitation may occur)
- pleural effusion is commonly associated
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