Advertisement

Unusual “cavity-in-cavity” appearance of pulmonary aspergilloma

  • Kedar Chintapalli
    Correspondence
    Address reprint requests to: K. Chintapalli, MD, Department of Radiology/114, Veterans Administration Medical Center, 5000 W. National Avenue, Milwaukee, Wisconsin 53295.
    Affiliations
    Departments of Radiology and Pathology, Veterans Administration Medical Center, Milwaukee, Wisconsin, USA

    Department of Radiology, Milwaukee County Medical Complex, Milwaukee, Wisconsin, USA

    The Medical College of Wisconsin, Milwaukee, Wisconsin, USA
    Search for articles by this author
  • Neela K. Sheth
    Affiliations
    Departments of Radiology and Pathology, Veterans Administration Medical Center, Milwaukee, Wisconsin, USA

    Department of Radiology, Milwaukee County Medical Complex, Milwaukee, Wisconsin, USA

    The Medical College of Wisconsin, Milwaukee, Wisconsin, USA
    Search for articles by this author
  • Lawrence R. Goodman
    Affiliations
    Departments of Radiology and Pathology, Veterans Administration Medical Center, Milwaukee, Wisconsin, USA

    Department of Radiology, Milwaukee County Medical Complex, Milwaukee, Wisconsin, USA

    The Medical College of Wisconsin, Milwaukee, Wisconsin, USA
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      The classic radiographic appearance of pulmonary aspergilloma is a solid, round, often mobile intracavitary mass. We describe an unusual “cavity-incavity” appearance seen on conventional roentgenograms and computed tomography studies in two patients with confirmed pulmonary aspergilloma. We are not aware of any previous report describing such appearance based on literature search.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Libshitz H.I.
        • Pagani J.J.
        Aspergillosis and mucormycosis: two types of opportunistic fungal pneumonia.
        Radiol. 1981; 140: 301-306
        • Getter W.B.
        • Epstein D.M.
        • Miller W.T.
        Allergic bronchopulmonary aspergillosis: less common patterns.
        Radiol. 1981; 140: 307-312
        • Getter W.B.
        • Weingrad T.R.
        • Epstein D.M.
        • et al.
        “Semi-invasive” pulmonary aspergillosis.
        Radiol. 1981; 140: 313-321
        • Greene R.
        The pulmonary aspergilloses: three distinct entities or a spectrum of disease.
        Radiol. 1981; 140: 527-530
        • Gross B.H.
        • Spitz H.B.
        • Felson B.
        The mural nodule in cavitary opportunistic pulmonary aspergillosis.
        Radiol. 1982; 143: 619-622
        • Binder R.E.
        • Faling L.J.
        • Pugatch R.D.
        • et al.
        Chronic: necrotizing pulmonary aspergillosis. A discrete clinical entity.
        Medicine. 1982; 61: 109-124
        • Glimp R.A.
        • Bayer A.S.
        Pulmonary aspergilloma. Diagnostic and therapeutic considerations.
        Arch Intern Med. 1983; 143: 303-308
        • Klein D.L.
        • Gamsu G.
        Thoracic manifestations of aspergillosis.
        Am J Roentgenol. 1980; 134: 543-552
        • Garvey J.
        • Crastnopol P.
        • Weisz D.
        • Khan F.
        The surgical treatment of pulmonary aspergillomas.
        J Thorac Cardiovasc Surg. 1977; 74: 542-546
        • Pare J.A.P.
        • Fraser R.G.
        Synopsis of the disease of the chest.
        in: WB Sounders, Philadelphia1983: 317-319
        • Breuer R.
        • Baigelman W.
        • Pugatch R.D.
        Occult mycetoma.
        J Comput Assist Tomogr. 1982; 6: 166-168
        • Kruglik G.D.
        • Wayne K.S.
        Occult lung cavity causing hemoptysis: recognition by computed tomography.
        J Comput Assist Tomogr. 1980; 4: 407-408
        • Kuhlman J.E.
        • Fishman E.K.
        • Siegelman S.S.
        Invasive pulmonary aspergillosis in acute leukemia: characteristic findings on CT, the CT halo sign, and the role of CT in early diagnosis.
        Radiol. 1985; 157: 611-614