<prompt> Allergic bronchopulmonary aspergillosis is characterized by all EXCEPTBronchial asthmaPleural effusionCentra bronchiectasisNot respond to steroid  <response>: Not respond to steroid 241-CMDT-10 1259-H17th High doses of prednisone for at least 2 months is treatment of choice ABPA occurs in atopic asthmatic particularly glucocorticoid dependent individuals of age 20-40 years and non asthmatic individuals eg cystic fibrosisDiagnostic criteria for Bronchopulmoanry-AspergillosisPrimarySecondaryi. A clinical ho Asthmaii. Peripheral eosinophileaiii. Immediate skin reactivity to aspergillus antigeniv. Precipitating Ab to aspergillus antigenv. S.IgEvi. Pulmonary infiltrates transient or fixedvii. Central bronchiectasis Identification of Asp.antigin sputum Ho brown flesked sputum Late skin reactivity to asp.antigen Patients with corticosteroid dependent may benefited from itraconazole without toxicity TRANSDATES PLEURAL EFFUSION 283-CMDT-10 causes CHF 90 of cases, cirrhosis with ascites, Nephrotic syndrome, peritoneal dialysis, Myxedema, Acute atlectasis, constrictive pericarditis, SVC obstruction, pulmonary embolism Pleural tapping in mid-axillary line, muscle NOT pierced is Transversus thoracis Sternocostalis 