Blastomycosis chest x ray

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: ; Vidit Bhargava, M.B.B.S [2] Aditya Ganti M.B.B.S. [3]

Overview

The findings on chest x-ray are not consistent or highly specific for blastomycosis. No radiographic findings are absolutely diagnostic of blastomycosis.

Chest X-ray

Alveolar infiltrates may be present but are not localized to a particular lobe. ^[1]

Consolidations with or without cavitations. Small pleural effusion‘s are relatively common. ^[2]
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

This is AP chest X-ray demonstrating

Hyperinflation of lungs on both sides
Decreased lung volume on left side compared to right lung
Reticular opacities in the right lower lobe
Hilar lymphadenopathy on ride side of lung
Mass with indefinite borders obscuring the architecture of pulmonary artery on left lung

References

↑ “Public Health Image Library (PHIL)”.
↑ Kauffman, Carol (2011). Essentials of clinical mycology. New York: Springer. ISBN 978-1-4419-6639-1.

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[PHIL-1] “Public Health Image Library (PHIL)”.

[2] Kauffman, Carol (2011). Essentials of clinical mycology. New York: Springer. ISBN 978-1-4419-6639-1.

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