Classic Case: Granuloma from Histoplasmosis

This is a classic case of a granuloma due to prior histoplasmosis. In the vast majority of histo infections, patients are either asymptomatic or have minimal symptoms. It is only later that a granuloma is found incidentally. When the granuloma is calcified, it is not a diagnostic challenge. When the granuloma is not calcified, the nodule can be mistaken for other lesions including cancer. That is where a radiologist can play a big role in the diagnosis and management--by steering the patient towards follow up imaging rather than a more invasive test.

Textbooks I like for chest radiology—
Med students and all residents: Felson’s Principles of Chest Roentgenology
https://amzn.to/3FhBkvN

Radiology residents: Thoracic Imaging: Pulmonary and Cardiovascular Radiology
https://amzn.to/2YqzLLh

Thoracic radiology fellows: Muller’s Imaging of the Chest: Expert Radiology Series
https://amzn.to/3ouJ7QY