The Egyptian Journal of Bronchology
JUNE 2010 |
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CASE REPORT
RADIOLOGY CASE REPORT
By
Mamdouh Mahfouz
Prof. of Radiology, Cairo University |
HISTORY
A 45-year-old female with a long history of asthma presented in the emergency department with exacerbated wheezing. Plain chest radiography was performed.
FINDINGS
The intial chest radiography (A) showed prominent hilar vascular shadows with lower lobar segmental bronchial opacification more evident on the right side. The patient improved on medical treatment and presented 6 days later by a similar attack. The chest radiograph at that time (B) showed the development of left basal subsegmental consolidation. A follow up study (C) done after 4 days of medical treatment showed total regression of the lesion with clear left lung. A bronchogram (D) was done few days after (C) showed the presence of proximal cystic bronchiectatic changes in the left upper lobe anterior subsegmental bronchi.
DIAGNOSIS:
Allergic bronchopulmonary aspergillosis (ABPA).
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