Presentation
Chronic cough.
Patient Data
Age: 70 years
Gender: Female
From the case:
Tuberculous cavity aspergilloma
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Axial CT scan of the chest in the supine and prone position reveals bronchiectatic changes and fibrosis more prominent in the right upper lobe with large cavity formation. The cavity contains a large, mobile and slightly hyperdense component with foci of calcification inside consistent with fungal ball within a post pulmonary tuberculosis cavity.
Case Discussion
Mobility of the intracavitary component is an important finding to confirm the presence of aspergilloma and exclude other mimickers like a solid mass with necrosis.