CXR
Normal in 40-70% of cases
Pneumonitis with hilar adenopathy
Focal pulmonary infiltrates with light exposure
Diffuse infiltrates with heavy exposure
CBC - mild anemia in chronic disease
Liver panel - alkaline phosphatase elevated in disseminated and chronic disease
LDH - elevated in AIDS patients with disseminated disease
Definitive diagnosis by:
Sputum cultures
Blood cultures
Antibody testing
Serum/urine antigen testing
Further imaging if concerned for specific organ involvement in disseminated disease (Head CT, Abdominal CT or Lumbar puncture)
Normal in 40-70% of cases
Pneumonitis with hilar adenopathy
Focal pulmonary infiltrates with light exposure
Diffuse infiltrates with heavy exposure
Sputum cultures
Blood cultures
Antibody testing
Serum/urine antigen testing
Histoplasmosis
Carcinoid Lung Tumors
Toxoplasmosis
Lung Cancer, Small Cell
Aspergillosis
Lymphoma, Mediastinal
Coccidioidomycosis
Mediastinal Cysts