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67. Fellows’ Case Files: Northwestern University

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Case Study of Fibrosing Mediastinitis

Exploration of a challenging case involving fibrosing mediastinitis, focusing on imaging diagnostic approaches, difficulties in determining underlying causes, and potential future treatment strategies. The chapter discusses a young woman's case with histoplasmosis history, pulmonary impacts, and macrophage-predominant BAL cell count, necessitating pulmonary artery stenting despite negative culture results. It also emphasizes the absence of a role for routine antifungal therapy, the importance of multidisciplinary care, and the potential for targeted treatments in rare disease management.

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