Blastomycosis chest x ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: ; Vidit Bhargava, M.B.B.S [2]

Overview

No radiographic findings are absolutely diagnostic of blastomycosis. The findings are not consistent or highly specific .

X-ray chest

• Alveolar infiltrates may be present but are not localized to a particular lobe.
• Consolidations with or without cavitations, small pleural effusion's are relatively common.
• Sometimes, pulmonary nodules simulating tuberculosis or cancers may be present.
• Mediastinal lymph node enlargement is not a consistent finding, but may be found occasionally.

This AP chest X-ray demonstrates lung infiltrates due to Blastomycosis, caused by Blastomyces dermatitidis

X-ray Bone

• A well circumscribed osteolytic lesion is the most common bone involvement finding in blastomycosis.