Presentation
Previous history of pulmonary tuberculosis and normal immunity.
Patient Data
Rounded soft tissue attenuating masses within cavities in the upper zones. Signs of scaring in both lung apices likely related to previous infections.
Scarring and rounded soft tissue attenuating masses within cavities in the upper zones.
Magnified view of the chest radiograph depicting the "air-crescent" sign of a soft tissue mass within a pre-existing cavity.
Case Discussion
An aspergilloma is a mycetoma (mass-like fungus ball) typically composed of Aspergillus fumigatus, and is a non-invasive form of pulmonary aspergillosis.
This case was not confirmed with microbiology and the diagnosis was based only on clinical history and imaging findings, although the imaging features are very typical.
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