She was well until April when she travelled to Phoenix to visit friends. When she returned, she had a bad URI. Her PCP obtained a CXR which showed a shadow in the L hilum, and a CT was recommended.
The CT was from an OSH and resembles the CT shown below. The L hilar fullness is a node clearly visualized in the OSH CT; the CT I show is without contrast (she got hives after the first CT). The rec on the CT was to obtain a repeat in 3 months. This is the 3 month CT.
She is currently asymptomatic other than a 20 lb weight loss since 4/06. She has not changed her eating habits or exercising habits.
PMH: Non-smoker but moderate second-hand smoke from her parents.
Labs: CBC, chemistries, U/a are all normal.
What would you do?
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Fungal serologies are all negative.
I agree that this is likely fungal (and self limited), despite the negative serologies. I would repeat a ct in 3 months if she remains asymptomatic.
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