Case contributed by Domenico Nicoletti
Diagnosis almost certain


Wheezing and cough.

Patient Data

Age: 40 years
Gender: Male

In the right upper lobe there is a 4.5 cm opacity bordered by thin radiolucent streaks. 


In the right upper lobe exists a cavitary lesion occupied by mycetoma (diameter 4.5 cm) in communication with the apical bronchus.

Annotated image

Yellow circle highlights the position of the mycetoma. 

Case Discussion

Aspergilloma is a fungus ball that develops due to the formation of hyphae inside a lung cyst or an existing cavity (e.g. tuberculosis, sarcoidosis), usually in the upper lobe. 

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