PMC4908945_01
Left upper lobe round infiltrate in chest X-ray.. Note: The arrow indicate the cavitary lesion in the lung.
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Chest X-ray on admission showed left upper lobe round infiltrate (Figure 1).
Computed tomography scan of chest showing left upper lobe lung lesion with cavitations, along with diffuse bilateral ground glass opacification.. Notes: The arrow indicate the cavitary lesion in the lung. The inset shows that the cavitary lesion in lung is on that level on coronal view.
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A repeat chest X-ray showed expanding left upper lobe lesion, while computed tomography scan of chest (Figure 2) done at that time showed a left upper lobe lung lesion with cavitations, along with diffuse bilateral ground glass opacification.
Broad-based pauci-septate hyphae with dichotomous wide-angle branching (arrow) on microscopic examination of Lung.
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Microscopically, the fungi displayed broad-based pauci-septate hyphae with dichotomous wide-angle branching in the left upper lobe hemorrhagic lesion and surrounding lung parenchyma, as well as in the pleura (Figure 3).
Broad-based pauci-septate hyphae with dichotomous wide-angle branching (arrow) on microscopic examination of thyroid.
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A focus of thyroid tissue also contained these fungal hyphae (Figure 4).