Invasive Pulmonary Aspergillosis
Imaging findings
A chest CT of a kidney transplant patient demonstrates a right upper lobe mass-like consolidation with adjacent tree-in-bud nodular opacities and mildly dilated pulmonary vessels in the surrounding lung parenchyma.
Key takeaways
Invasive pulmonary aspergillosis in immunocompromised hosts, such as solid organ transplant recipients, can manifest as focal mass-like consolidations with adjacent tree-in-bud nodularity, representing bronchogenic dissemination. Prompt recognition and differentiation from other bacterial or opportunistic infections are required to guide appropriate antifungal management.
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