PMC10199683_01
CT chest demonstrating small cavitary lesion in the left lower lobe (arrow).
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Given the patient's history of malignancy and high clinical suspicion for pulmonary embolus (PE), a CT angiogram of the chest/thorax was obtained, which was negative for PE but did reveal a small cavitary lesion in the left lower lobe (Figure 1).
Cecum biopsy showing diffuse Histoplasma capsulatum (GMS stain).
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Post-operative pathology evaluation revealed diffuse Histoplasma capsulatum involving the cecum (Figure 2).