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)

PlayAdd to Share
Case
Full screen case
Case with hidden diagnosis
Full screen case with hidden diagnosis

Case Information

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

Updating… Please wait.
Loadinganimation

Alert_accept

Error Unable to process the form. Check for errors and try again.

Alert_accept Thank you for updating your details.