Usual interstitial pneumonia with concomitant intracavitary and endobronchial mycetomas
Diagnosis almost certain
Presentation
History of interstitial lung disease and rheumatoid arthritis. Currently presenting with low-grade fever.
Patient Data
Age: 60 years
Gender: Female
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Bilateral inter- and intralobular septal thickening, subpleural honeycombing with a cephalad gradient, and traction bronchiectasis. Intracavitary and intrabronchiectatic soft tissue balls with air crescent rim and displacement of these balls on prone positioning.
Case Discussion
60-year-old female with known rheumatoid arthritis. She presented with low-grade fever, for which she underwent a CT thorax. The imaging features are compatible with usual interstitial pneumonia (UIP) pattern with associated intracavitary and intrabronchiectatic mycetomas, most probably aspergillomas.