Case contributed by Dr Bruno Di Muzio


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

Patient Data

Age: 66
Gender: Male

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.


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.

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Case information

rID: 24521
Published: 22nd Aug 2013
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

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