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Fig. 13 —47-year-old woman with both parenchymal and endobronchial
actinomycosis associated with broncholithiasis. Contrast-enhanced CT image
obtained with mediastinal window settings shows small endobronchial
calcification (white arrow) obstructing lumen of posterobasal
segmental bronchus of left lower lobe. Masslike consolidation
(arrowhead) containing several cavities is also seen in anterobasal
segment of left lower lobe. Notice adjacent pleural thickening (black
arrow). Endobronchial actinomycosis was diagnosed by bronchoscopic
biopsy, and parenchymal actinomycosis was diagnosed by wedge resection.
