<prompt> Which of the following is not a feature of ABPAHigh lgE levelRecurrent pneumoniaOccurrence in patients with old cavitary lesionsPleural effusion  <response>: Ref. API Textbook of Medicine. Pg. 1751 Allergic Bronchopulmonary AspergillosisABPA represents a hypersensitivity reaction to A. fumigatus; rare cases are due to other aspergilli and other fungi.ABPA occurs in 1 of patients with asthma and in up to 15 of adults with cystic fibrosis; occasional cases are reported in patients with neither of the latter.Episodes of bronchial obstruction with mucous plugs leading to coughing fits, pneumonia, consolidation, and breathlessness are typical.Many patients report coughing up thick sputum casts, usually brown or clear.Eosinophilia commonly develops before systemic glucocorticoids are given.The cardinal diagnostic tests include an elevated serum level of total IgE usually 1000 IUmL, a positive skin-prick test to A. fumigatus extract, or detection of Aspergillus-specific IgE and IgG precipitating antibodies.Central bronchiectasis is characteristic 