Aspergilloma due to Previous Pulmonary TB

This is a truly amazing case.

The patient was previously treated for a multidrug resistant TB. As a complication of his TB the patient developed a large right upper lobe cavity (upper image above).

The patient remained asymptomatic for several years but then developed fever, cough and hemoptysis.

A repeat CT chest (bottom image) showed the presence of debris in the previous TB cavity. His bronchoscopy specimens were positive for Aspergillus species making it a likely diagnosis of aspergillosis.

Subsequently, the patient required lobectomy.