The disease begins in the lower canopy and moves upward, but in some cases it progresses quickly, causing dieback through a large portion of the tree. Besides needle death and drop, there are virtually no other external symptoms to indicate where the original infection took place. Occasionally you may find resin building on the outside of a canker. Cutting into the thin bark will show the brown discolored tissue where the canker is developing. Cankers are often located in between two areas of healthy tissue. This can lead to older needle loss similar to needlecast diseases, but leaving terminal buds alive. However, once the pathogen spreads and girdles the branch, the rest of the branch will begin to die out to the tip.