094Lu CLL Candida and Halo Sign

66 y/o m w/ hx of CLL presents 2 weeks ago with
fever and chills neutropenia
66 y/o m w/ hx of CLL presents
fever and chills neutropenia
CXR shows new RUL vague rounded infiltrate
Ashley Davidoff TheCommonVein.net
CT shows
- new superior segment of the RUL and RLL and
- spiculated lesion in the left apex
66 y/o m w/ hx of CLL presents
fever and chills neutropenia
CT shows new nodules in the posterior segment of the RUL , a nodule in the RML and
spiculated lesion in the left apex
Ashley Davidoff TheCommonVein.net

66 y/o m w/ hx of CLL presents
spiculated lesion in the left apex
Ashley Davidoff TheCommonVein.net
3 days later
- IR guided CT biopsy of the right lower lobe lesion
  - progression of disease
  - neg for AFB
  - 66 y/o m w/ hx of CLL presents
    fever and chills
    3 days later
    IR guided CT biopsy of the right upper lobe lesion
    progression of disease
    neg for AFB
    Ashley Davidoff TheCommonVein.net
    
    66 y/o m w/ hx of CLL presents
    fever and chills
    3 days later
    IR guided CT biopsy of the right upper lobe lesion
    progression of disease
    neg for AFB
    Ashley Davidoff TheCommonVein.net
    
    66 y/o m w/ hx of CLL presents
    IR guided CT biopsy of the right lower lobe lesion
    progression of disease
    neg for AFB
    Ashley Davidoff TheCommonVein.net
- 2 days later
  CT Progression of disease
- neg for AFB
  Robotic Bronchoscopy
  edematous boggy mucosa and area of darkly pigmented lesions. Cultures showed CANDIDA GLABRATA