Allergic bronchopulmonary aspergillosis (ABPA)

Case contributed by Dr Paresh K Desai

Presentation

Cough.

Patient Data

Age: 40 years
Gender: Female
Modality: X-ray

There is 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).

Case Discussion:

CT guided aspiration of the lesion confirmed bronchopulmonary aspergillosis.

Bronchocoeles are a feature of allergic bronchopulmonary aspergillosis (ABPA)

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Case Information:

rID: 5745
Diagnostic certainty: Probable
System: Chest
Inclusion in quiz mode: Included

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