Blastomycosis

This unfortunate gentleman presented to medical attention complaining on weight loss, cough and night sweats.

His Chest XR revealed a likely “mass” in the left lung (black arrow on the upper image above).
CT chest showed a necrotic mass in the same location (bottom image).

Bronchoscopy with lavage and subsequent fungal culture confirmed the diagnosis of Blastomycosis.

The patient was started on antifungal agent with clinical improvement in his condition.