A 69-year-old male farmer from Ohio with no significant medical history presents with right elbow pain of 1 month's duration and firm, affixed, erythematous, and nontender papulonodules of the extremities and trunk after a fall. Some lesions express caseous material. There is no lymphadenopathy. Magnetic resonance imaging of the right elbow demonstrates large joint effusion with synovitis compatible with septic arthritis and osteomyelitis. Chest radiography findings are negative. Gomorri methenamine silver (GMS) staining is shown, along with a corresponding lesion. Which of the following is the most likely diagnosis? A. Disseminated coccidioidomycosis B. Disseminated blastomycosis C. Nocardiosis D. Leishmaniasis E. Cellulitis Visit the link in our bio to submit your answer for CME credit!