Aspergilloma

Case contributed by Dr Ian Bickle

Presentation

The middle aged female on chemotherapy for a known haematological malignancy is generally unwell with a fever.

Patient Data

Age: 45
Gender: Female
Modality: X-ray

Round soft tissue density surrounded by semicircular lucency, noted in the right upper zone suggestive of air crescent sign of invasive aspergillosis.

Modality: Annotated image

Annotation illustrating the origin of the term - the air crescent sign

Modality: CT

Right upper lobe cavity with a 'ball' of fungus within.  Consolidation surrounding the cavity.

Case Discussion

In invasive fungal infections the nodule is composed of necrosed tissue, later this necrotic nodule is reabsorbed peripherally and retracted and air gets trapped inside the nodule and give rise to air crescent.

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Case Information

rID: 26223
Case created: 7th Dec 2013
Last edited: 17th Jan 2016
System: Chest
Inclusion in quiz mode: Included

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