Angioinvasive aspergillosis

Case contributed by Hani Makky Al Salam
Diagnosis almost certain

Presentation

Two years post-stem-cell transplant, having decreasing DLCO in the past four months. 

Patient Data

Age: 50 years
Gender: Male
ct

Ct scan of the chest in lung window demonstrate bilateral lung nodules and nodular opacities surrounded by ground glass ( CT Halo sign). The largest nodular opacity is seen in the right upper lobe.

Case Discussion

In the appropriate clinical setting, the presence of new nodules with ground-glass halo is strongly suggestive of the diagnosis of angioinvasive aspergillosis, and treatment is usually initiated, without the need for biopsy. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.