Post on 07-May-2015
Pulmonary Pulmonary aspergillosisaspergillosis
Dr / Hytham NafadyDr / Hytham Nafady
EtiologyEtiology
Aspergilloma
AspergillomaAspergilloma saprophytic aspergillosis
DD of aspergilloma
Causes of air crescent sign:
• Angio-invasive aspergillosis (no pre-existing cavity)
• Lung abscess.
• Bronchogenic carcinoma.
• T.B cavity with Rasmussen aneurysm.
• Hydatid cyst.
ABPA
Allergic bronchopulmonary aspergillosisABPA
2 months after TTT
ABPA
DD of ABPA
Causes of mucoid impaction:
• Endobronchial lesions,
• Bronchial atresia, and
• Bronchiectasis.
Semi-invasive aspergillosis
Semi-invasive aspergillosisSemi-invasive aspergillosischronic necrotizing pulmonary aspergillosis
Air way invasive aspergillosis
Air way invasive aspergillosis
Centrilobular nodules with tree in bud opacities
Focal areas of consolidation with peribronchial distribution
Angio-invasive aspergillosis
Aangio-invasive aspergillosis
Angio-invasive aspergillosis
DD of angio-invasive aspergillosis
DD of Halo sign:
• Hemorrhagic metastases.
• Kaposi sarcoma.
• Wegner granulomatosis.
DD of angio-invasive aspergillosis
DD of angio-invasive aspergillosis
DD of angio-invasive aspergillosis
DD of air crescent sign:
• Aspergilloma (pre-existent lung cavity)
• Lung abscess.
• Bronchogenic carcinoma.
• T.B cavity with Rasmussen aneurysm.
• Hydatid cyst.