July 2022 Medical Image of the Month: Pulmonary Nodule in the Setting of Pyoderma Gangrenosum (PG)

Abstract

No abstract available. Article truncated after 150 words. A 70-year-old man presented with persistent cough productive of clear sputum which had persisted approximately 12 months after COVID-19 infection. The patient reported a more recent history of night sweats and had also recently developed what he described as “blisters” on his chest wall and right shoulder starting 4 weeks prior to presentation that “opened up” giving off a bloody discharge. The patient had been treated with Bactrim and Doxycycline without improvement and reported a 10-pound weight loss over the past several months. The patient was a never-smoker with no significant travel history and a past medical history of asthma, GERD, gout, and chronic rhinitis. Vital signs and physical exam were normal, except for a 1 cm open wound in the center of the patient’s chest [Figure 2A]. A chest CT performed as part of the patient’s workup demonstrated a spiculated mass in the left upper lobe with adjacent mediastinal …