Presentation
Hospital admission for renal impairment with no specific pulmonary symptoms.
Patient Data
A well-circumscribed cavity at the left apex with central radio-opacity surrounded by an air crescent sign.
A well-circumscribed cavity with a central soft-tissue attenuating rounded mass surrounded by an air crescent sign in the left apex.
Left upper lobe bronchiectasis changes.
Bilateral apical scarring.
Bilateral pleural effusions with right-sided predominance.
Case Discussion
Aspergillus ( a common saprophyte living in the soil and plants) is common among immunocompromised patients. In the lungs colonizes pre-existing cavities.
Pulmonary aspergillus infection presents in a variety of forms depending on the immune status of the patient and pre-existing lung cavity
One of the risk factors for aspergilloma is the presence of underlying cavitary lung disease.
TB is the most common predisposing structural lung disease for aspergilloma.
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