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Aspergillus bronchiolitis in a marijuana smoker

Imaging findings

CT scan of a patient with a history of marijuana smoking shows multiple nodular opacities in an airway/bronchiolar distribution and a right lower lobe cavitary mass. Bronchoscopy and lavage grew Aspergillus.

Key takeaways

Marijuana smoking is a recognized risk factor for Aspergillus bronchiolitis and bronchitis due to fungal spores contaminating the plant material. It presents with bronchiolar nodules and cavities.

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