CTICasesChronic Necrotizing Aspergillosis
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Imaging findings
A January CT showed two areas of nodular consolidation with some central lucency, one possibly communicating with an airway. These were not hypermetabolic on PET. A CT from a couple of weeks prior showed persistence of these findings.
Key takeaways
Biopsy was negative for malignancy, and cultures grew Aspergillus fumigatus. Given the patient's smoker status and underlying structural lung disease, this is consistent with chronic necrotizing aspergillosis, also known as semi-invasive aspergillosis. Despite antifungal treatment and symptom improvement, the lesions persisted.
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