대한흉부영상의학회 Korean Society of Thoracic Radiology GuerBet

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대한흉부영상의학회 Weekly Case 검색
대한흉부영상의학회 Weekly Case 검색
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Weekly Chest CasesImaging Conference Cases

Case No : 5

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  • Age/Sex 78 / M
  • Case Title Dyspnea on exertion, cough and sputum (D: one month) Hx of DM and hypertension
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Diagnosis With Brief Discussion

Courtesy
Kyunghee University Hospital, Seoul, Korea
Discussion
Aspergillus-related lung disease
Allergic bronchopulmonary aspergillosis

Bronchocentric granulomatosis

Mycetoma

Chronic necrotizing aspergillosis or semiinvasive aspergillosis

Invasive aspergillosis : Angioinvasive aspergillosis & Airway invasive aspergillosis (15%)


Airway invasive Aspergillosis
Histologic analysis - presence of Aspergillus deep to the airway basement membrane

Clinical manifestation : Acute tracheobronchitis, Bronchiolitis, Bronchopneumonia


CT findings
Patchy peribronchial consolidation

Small ill-defined nodules

Ground glass opacity

Lobar consolidation
Keywords
Airway, Lung, Infection, Fungal infection, Airway Invasive Aspergillosis
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Current Editor : Sung Shine Shim, MD, PhD. Email : sinisim@ewha.ac.kr

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