Nodules Miliary

Acute Miliary Histoplasmosis

CAVITATING LUNG NODULE – ACUTE PULMONARY HISTOPLASMOSIS
22-year-old female presents with flu like symptoms.  3 weeks later a chest CT shows a cavitating nodule in the left upper lobe, and extensive diffuse bilateral micronodular miliary disease.
Ashley Davidoff MD Ashley Davidoff MD TheCommonVein.net 131706
MILIARY NODULES – ACUTE PULMONARY HISTOPLASMOSIS
22-year-old female presents with flu like symptoms.  CT shows  extensive diffuse bilateral micronodular miliary disease.
Ashley Davidoff MD Ashley Davidoff MD TheCommonVein.net 131707
MILIARY NODULES – ACUTE PULMONARY HISTOPLASMOSIS
22-year-old female presents with flu like symptoms.  CT shows  extensive diffuse bilateral micronodular miliary disease with ground glass changes at the bases with suggestion of thickening of the interlobular septa.
Ashley Davidoff MD TheCommonVein.net 131710
CAVITATING LUNG NODULE – and DIFFUSE MILIARY DISEASE IN ACUTE PULMONARY HISTOPLASMOSIS
22-year-old female presents with flu like symptoms.  CT shows  left apical cavitating nodule and extensive diffuse bilateral micronodular miliary disease.
Ashley Davidoff MD TheCommonVein.net 131716

 

ACUTE PULMONARY HISTOPLASMOSIS – PNEUMONIA
22-year-old female presented with flu like symptoms 1 week prior had a CT that showed extensive diffuse bilateral micronodular military disease associated with mediastinal lymphadenopathy, and hepatosplenomegaly.
The current CXR 1 week later she required admission to the ICU and the CXR above shows  confluent pneumonic infiltrates with air bronchograms in the lower lobes.  Ashley Davidoff MD TheCommonVein.net 131721