School ager who 6 years ago had massive hilar lymphadenopathy which eventually resolved with new cough and fever

CXR and CT of recurrent pulmonary fungal infection in chronic granulomatous disease — CXR AP and lateral (above) shows massive bilateral hilar lymphadenopathy and bilateral multiple small lung nodules. Axial CT with contrast of the chest in soft tissue (below left) and lung (below right) windows shows the lymphadenopathy and lung nodules to contain punctate calcifications.

The diagnosis was recurrent pulmonary fungal infection in a patient with chronic granulomatous disease.