Allergic bronchopulmonary aspergillosis (ABPA)

Case contributed by A.Prof Frank Gaillard


Long history of respiratory wheeze and chronic cough.

Patient Data

Age: 35 years
Gender: Male

Chest 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. 

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 image

Annotated images

"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. 

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Case information

rID: 15388
Published: 13th Oct 2011
Last edited: 27th Jul 2018
System: Chest
Inclusion in quiz mode: Included

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