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ALL / Infectious Diseases

Aspergilloma

Aspergilloma

An aspergilloma is a mycetoma (mass-like fungus ball) which often colonises an existing lung cavity (e.g. secondary to tuberculosis, lung cancer or cystic fibrosis).

Usually asymptomatic but features may include
  • cough
  • haemoptysis (may be severe)

Investigations
  • chest x-ray containing a rounded opacity. A crescent sign may be present
  • high titres Aspergillus precipitins

Aspergilloma in a patient with cavities secondary to previous tuberculosis infection. The close-up CXR and CT scan from the same patient demonstrate a rounded soft tissue attenuating masses located in a surrounding cavity.
+PassMedicine Notes

An aspergilloma is a mycetoma (mass-like fungus ball) which often colonises an existing lung cavity (e.g. secondary to tuberculosis, lung cancer or cystic fibrosis).

Usually asymptomatic but features may include
  • cough
  • haemoptysis (may be severe)
Investigations
  • chest x-ray containing a rounded opacity. A crescent sign may be present
  • high titres Aspergillus precipitins
xrb158.jpg Aspergilloma in a patient with cavities secondary to previous tuberculosis infection. The close-up CXR and CT scan from the same patient demonstrate a rounded soft tissue attenuating masses located in a surrounding cavity.

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