Allergic bronchopulmonary aspergillosis (ABPA)

Case contributed by A.Prof Frank Gaillard

Presentation

Long history of respiratory wheeze and chronic cough.

Patient Data

Age: 35 years
Gender: Male

Chest x-ray

Modality: X-ray

Chest x-ray demonstrates tubular branching opacities in the right upper lobe. In the left upper lobe a number parallel lines extending from the hilum (tram track) suggest bronchiectasis. 

CT chest

Modality: CT

Single image through the upper zones confirms the presence of bronchiectasis on the left (somewhat movement degraded). On the right many of the dilated bronchi are filled with secretions. 

Annotated images

Modality: Annotated image

"Glove like" opacity in the right upper zone (yellow dotted line) represents sputum plugged bronchiectasis. Air-filled bronchiectasis is seen bilaterally (green arrows). 

Case Discussion:

These films demonstrate characteristic appearances of ABPA. 

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

Case Information:

rID: 15388
Diagnostic certainty: Almost Certain
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.