Case contributed by Dr Naeem Jagirdar


85 yr old female smoker with previous history of breast cancer, presenting with fever and increasing breathlessness on a background of COPD.

Patient Data

Age: 85
Gender: Female

See below

Case Discussion

Chest x-ray and CT of the chest demonstrates a cavity in the apex of the left lung, with a central soft tissue attenuation mass surrounded by air (Monod sign). There is aslo thickening of the wall and adjacent pleura.

Features are consistent with an aspergilloma, presumably occupying a pre-existing cavity due to COPD or prior tuberculosis

PlayAdd to Share

Case information

rID: 12842
Published: 16th Jan 2011
Last edited: 13th Aug 2019
System: Chest
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.