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High-Resolution CT Findings of 77 Patients with Untreated Pulmonary Paracoccidioidomycosis

Arthur Soares Souza, Jr.1, Emerson Leandro Gasparetto2, Taisa Davaus3, Dante Luiz Escuissato3 and Edson Marchiori2

1 Faculty of Medicine of São José do Rio Preto, São José do Rio Preto, São Paulo, Brazil.
2 University of Rio de Janeiro, Rio de Janeiro, Brazil.
3 University of Paraná, Curitiba, Paraná, Brazil.


Figure 1
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  		Fig. 1 —High-resolution CT scan at level of inferior lobes shows interlobular septal thickening and multiple small centrilobular nodules, some of which have tree-in-bud pattern, in 35-year-old man with pulmonary paracoccidioidomycosis.

 

Figure 2
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  		Fig. 2 —High-resolution CT scan at level of carina shows multiple nodules and masses in 61-year-old man with pulmonary paracoccidioidomycosis. Associated cavitated mass is seen in left lung.

 

Figure 3
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  		Fig. 3 —High-resolution CT scan at level of carina shows subsegmental multifocal consolidations in 42-year-old man with pulmonary paracoccidioidomycosis.

 

Figure 4
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  		Fig. 4 —High-resolution CT scan at level of inferior lobes shows diffuse ground-glass opacities associated with areas of reduced parenchyma attenuation in 37-year-old man with pulmonary paracoccidioidomycosis. In addition, irregular interlobular septal thickening with architectural distortion is identified.

 

Figure 5
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  		Fig. 5 —High-resolution CT scan at inferior pulmonary veins shows multifocal ground-glass attenuation areas, nodules with halo sign, and "reversed halo sign" at left lung in 55-year-old man with pulmonary paracoccidioidomycosis.

 

Figure 6
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  		Fig. 6 —High-resolution CT scan at level of inferior pulmonary veins shows random nodules with halo sign, cavitated nodules, and cavitated mass at left inferior lobe in 57-year-old man with pulmonary paracoccidioidomycosis.

 

Figure 7
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  		Fig. 7 —High-resolution CT scan at level of inferior lobes shows multiple ground-glass attenuation balls, "reversed halo sign," and cavitated nodule with halo sign at posterior region of right lung in 48-year-old man with pulmonary paracoccidioidomycosis.

 

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