PMC5458075_01
a-b. CT image revealing large solid mass of the left upper lobe, limited pleural and pericardial effusion and calcified lymphadenopathy of mediastium.
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C reactive protein, 7mg/dl (0.01-0.8mg/dl) and negative tuberculosis antibody test. Computed tomography (CT) showed a large solid mass of the left upper lobe, limited pleural and pericardial effusion and calcified lymphadenopathy of mediastinum, Fig. 1.
Lung biopsy histopathological findings compatible with Bronchocentric granulomatosis. Necrotizing granulomas with bronchocentric localization.
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The possibility of malignancy was excluded, at the same time culture and PCR were positive for Histoplasma capsulatum and histological findings were compatible with BG, Fig. 2.
a-b. Follow up with CT two months after treatment reveals great decrease of the lung lesion. None pleural and pericardial effusion is reported.
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No pleural and pericardial effusion was reported Fig. 3.