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Allergic bronchopulmonary aspergillosis (ABPA)

Case contributed by Dr Paresh K Desai
Modality: X-ray

Case Discussion:

Chest x-ray in a 40 year old female with cough demonstrates a mass overlying the left hilum. In the right upper parahilar region a few ring shadow / tram track opacities are also noted, suggestive of bronchiectasis.

CT reveals a branching lesion in the superior segment of the left lower lobe with classic finger in glove appearance which represents of mucous filling dilated bronchi (i.e. bronchocoeles).

CT guided aspiration of the lesion confirmed bronchopulmonary aspergillosis.

Bronchocoeles are a feature of allergic bronchopulmonary aspergillosis (ABPA)

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