Allergic bronchopulmonary aspergillosis

Case contributed by Dr Ben Hudson

Presentation

Patient presented with cough. Previous left shoulder trauma. No other significant past medical history.

Patient Data

Age: Adult
Gender: Male
  • upper and mid zone predominant, central varicose bronchiectasis
  • mild bronchial wall thickening
  • mucoid impaction and bronchocoele formation in the right upper lobe and lingula with branching V- or Y-shaped configuration
  • minor tree-in-bud pattern peripheral to the bronchocoeles

Case Discussion

This case demonstrates many of the key characteristic radiological findings in allergic bronchopulmonary aspergillosis

The patient was noted to have elevated IgE levels and a mildly raised eosinophil count.

Expectorated sputum demonstrated fungal hyphae on microscopy.

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Case information

rID: 61966
Published: 26th Jul 2018
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included
Institution: Royal United Hospital Bath

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