Chest X ray of a patient with a large mass lesion in the right lower lobe. Chest X ray of a patient with a large mass lesion in the right lower lobe. Bronchoscopy and collection of bronchoalveolar lavage fluid showed multiple encapsulated yeasts upon cytological examination, and a culture grew Cryptococcus gattii. (Reprinted from reference 388 with permission of the publisher. Copyright 2013 UpToDate, Inc. [www.uptodate.com].) Sharon C.-A. Chen et al. Clin. Microbiol. Rev. 2014; doi:10.1128/CMR.00126-13