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Allergic bronchopulmonary aspergillosis (ABPA)

Case contributed by Paresh K Desai
Diagnosis probable

Presentation

Cough

Patient Data

Age: 40 years
Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

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 mucous filling dilated bronchi (i.e. bronchoceles).

Case Discussion

CT guided aspiration of the lesion confirmed bronchopulmonary aspergillosis. Bronchoceles are a feature of allergic bronchopulmonary aspergillosis (ABPA).

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