CTICasesAllergic Bronchopulmonary Aspergillosis (ABPA)
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Imaging findings
A chest X-ray shows no striking abnormalities. CT demonstrates central bronchial thickening and predominantly central, upper lobe bronchiectasis, with minimal mucoid plugging. The patient had clinical findings consistent with ABPA, including elevated IgE levels and chronic cough.
Key takeaways
Allergic bronchopulmonary aspergillosis (ABPA) presents along a spectrum of imaging findings. This case illustrates a more subtle manifestation characterized by central and upper lobe predominant bronchiectasis, which may be mild and without pronounced mucoid impaction.
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