Presentation
Cough and fever.
Patient Data
Right peripherally inserted central catheter (PICC) tip projected in the right atrium.
Ill-defined small round opacity in the right upper zone with a tiny central lucency suggesting a cavitating lesion.
Open reduction and internal fixation (ORIF) left clavicle.
Anterior segment right upper lobe 14 mm cavitating lesion with surrounding ground glass attenuation and a small non-dependent central mass. A thin crescent of gas between the cavity wall and central mass represents a Monod sign.
Case Discussion
Patient had neutropenic fevers 3 weeks after allogenic bone marrow transplantation (BMT) for anaplastic large cell lymphoma (ALCL).
Imaging findings classic for aspergilloma attached to a cavity wall. The patient subsequently had blood cultures positive for Aspergillus fumigatus.
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