Coccidioidomycosis is an endemic fungal disease in the southwestern regions of the North American continent. It is contracted by accidental inhalation of coccidioidal arthrospores with predominant pulmonary pathology. Lung nodules and masses may mimic cancer on cross-sectional or PET imaging, especially in an older or immunocompromised patient population, with high risk for malignancy. The author presents a case of disseminated coccidioidomycosis to lung, mediastinum, hilum, and parotid gland simulating advanced malignant neoplasm.
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Ba D. Nguyen (2006) studied this question.
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