Allergic bronchopulmonary aspergillosis
Patient presented with cough. Previous left shoulder trauma. No other significant past medical history.
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- upper and mid zone predominant, central varicose bronchiectasis
- mild bronchial wall thickening
- mucoid impaction and bronchocoele formation in the right upper lobe and lingula with branching V- or Y-shaped configuration
- minor tree-in-bud pattern peripheral to the bronchocoeles
This case demonstrates many of the key characteristic radiological findings in allergic bronchopulmonary aspergillosis.
The patient was noted to have elevated IgE levels and a mildly raised eosinophil count.
Expectorated sputum demonstrated fungal hyphae on microscopy.