Case contributed by Bruno Di Muzio
Diagnosis certain


Chronic cough.

Patient Data

Age: 55 years
Gender: Female

Chest radiograph


Left apex cavity with thick walls and lucent content. Right apex distortion with a cavity filled with amorphous content and thick walls/opacification of its surroundings. Linear dense materials at both apices suggest previous resections. 



Distortion of the lung apices with bilateral cavities and scarring; On the right the cavity has a mycetoma, and, on the left, it is clear. Scattered foci of inflammation centered in the distal airways, and also mild bronchiectasis. 

Case Discussion

Typical appearance of a pulmonary aspergilloma.

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