Abstract
PurposePulmonary aspergilloma affects immunocompromised patients but is also a recurrent condition in patients previously treated for pulmonary tuberculosis.Methods and ResultsWe report the case of a 45-year-old patient with a history of cured pulmonary tuberculosis 15 years earlier in whom we visualized pulmonary aspergilloma by transthoracic lung sonography. Sonography of pulmonary aspergilloma demonstrated an oval cavity with hypoechoic contents and an irregular border, measuring a diameter of 4.7 cm; inside the lesion, a roundish structure with an anechoic rim was discernable.ConclusionsThe sonographic findings corresponded to chest X-ray and computed tomography imaging in this patient and to previously reported sonographic characteristics of mycotic abscesses in other organs. Lung ultrasound may be a tool to identify pulmonary aspergilloma, especially as a point-of-care imaging tool and where other imaging modalities are inaccessible.
Highlights
A 45-year-old male non-smoker with a history of cured pulmonary tuberculosis 15 years earlier and without known co-morbidities presented with fatigue, chronic cough, dyspnea on exertion, and weight loss for 3 months
In line with the cavity seen on ultrasound and CXR, a non-enhancing soft tissue density with few calcified foci surrounded by an air crescent was seen in a cavity in the left upper zone measuring 6 × 4.5 × 6 cm (Fig. 2b); an additional even larger cavity of 10 × 10 × 13 cm was seen in the right upper zone
Diseases by aspergillus species mostly affect immunocompromised patients with a broad clinical spectrum that comprises a variety of manifestations even within the lungs
Summary
A 45-year-old male non-smoker with a history of cured pulmonary tuberculosis 15 years earlier and without known co-morbidities presented with fatigue, chronic cough, dyspnea on exertion, and weight loss for 3 months One month before his presentation, he reported having developed a fever for 1 week and having received outpatient treatment with antibiotics for 20 days without clinical improvement and progression of weight loss. In line with the cavity seen on ultrasound and CXR, a non-enhancing soft tissue density with few calcified foci surrounded by an air crescent was seen in a cavity in the left upper zone measuring 6 × 4.5 × 6 cm (Fig. 2b); an additional even larger cavity of 10 × 10 × 13 cm was seen in the right upper zone. The patient’s relatives consented to the publication of this case report
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