PMC8175132_01
CT chest revealing the right upper lobe cavitary lesion (blue arrow).
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fig1
CT scan of the chest was obtained which did reveal a cavitary lesion in the right upper lobe (Figure 1) and atelectasis of the right middle and lower lobes.
Solid obstructing endobronchial aspergilloma (blue arrow) in the right bronchus intermedius extending distally (orange arrow).
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She then underwent bronchoscopy, which revealed an obstructing mass in the right bronchus intermedius with abnormal changes in the mucosa distal to the mass (Figure 2).
Biopsy of the endobronchial lesion with abundant septate hyphae (blue arrows).
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fig3
Aspergillus (Figure 3).