Allergic bronchopulmonary aspergillosis (ABPA)
Worsening dyspnea, obstructive lung function.
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There is right lower lobe collapse likely due to a mucous plugging. Multiple central bronchi show to be filled given a "finger in glove" appearance, particularly in the left lower lobe. Also, patchy areas of groundglass opacities and a few centrilobular nodules.
Although ABPA is rarely seen in the absence of asthma, this patient showed high eosinophils at bronchoscopy.