Aspergilloma

Case contributed by Dr Bruno Di Muzio

Presentation

Patients with history of tuberculosis infection a long time ago. Former smoker.

Patient Data

Age: 66
Gender: Male
CT

CT Chest

Diffuse parenchymal paraseptal and centrilobular emphysema blebs associated with scars, bronchiectasis and calcified pulmonary nodules. There is a large cavitation on left lung apex within which there is a rounded mass of soft tissue density surrounded by an air crescent sign.

CT

One year ago study

Previous CT shows the same cicatricial changes and the cavitation with a smaller solid content. 

Case Discussion

Aspergillomas occur in patients with normal immunity but structurally abnormal lungs, with pre-existing cavities.

An asymptomatic aspergilloma does not necessarily require treatment, and the cavity is essentially isolated from any systemic administration of anti-fungals.

This is a presumptive diagnosis based on the radiological findings and clinical information provided.

PlayAdd to Share

Case information

rID: 24521
Case created: 22nd Aug 2013
Last edited: 7th Apr 2016
System: Chest
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.