PMC9508335_01
Chest X-ray showed a fungus ball (yellow arrow), an air crescent with consolidation, an impression of a lung mass, and fibroinfiltrates in the superior and medius lobe of the right lung. (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article.)
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Chest X-ray showed an air crescent with consolidation leading to an impression of lung mass and fibroinfiltrates in the superior and medius lobe of the right lung (Fig. 1).
(A) The mediastinum window shows a cavity with a relatively firm border, a rounded mass in the center (fungus ball), and an air crescent sign (yellow arrow). (B) Lung window: Mass in the right superior lobe with an air crescent sign (green arrow). (C) Fibroinfiltrates in the inferior lobe of the right lung and the anterior segment of the inferior lobe of the left lung. (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article.)
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A contrast CT scan showed a consolidation (40 HU), cavities, air crescent signs, fungus ball, and pulmonary inflammatory process in the anterior segment superior lobe of the right lung (Fig. 2).
(A) Durante surgery found that the superior and middle lobe was attached. There is mass in the middle lobe with severe adhesion; B) Atelectasis of the superior and middle lobes of the right lung.
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Superior and medius lobectomy (bilobectomy) and adhesiolysis were performed (Fig. 3).
(A) Histopathology of endobronchial tissue shows hamartoma features; respiratory epithelial cells (Ec): squamous epithelium (Sc), goblet gland epithelium (GG), fatty tissue (Ft), and cartilage tissue (Ct). (B) Histopathology shows inflammatory cells such as lymphocytes, eosinophils, neutrophils, plasma cells, and foci of aspergillus fungal colonies (Fc).
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Histopathology of lung tissue, fungal ball, and endobronchial nodule found aspergillus colonies and hamartoma features, as seen in Fig. 4.