PMC10183181_01
Chest computed tomography (CT), bronchoscopic changes, and pathological findings in July 2020.
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The two lungs also had a few speckled and cord-like hyperdense shadows (Figure 1A and B). White pus was observed in the flushing of the right upper lobe lumen and a necrotic mass tissue was observed under a bronchoscope in the anterior portion of the right upper lobe (Figure 1C). Pathological biopsy showed fungal hyphae with necrotic calcification, the morphology was more consistent with Aspergillus (Figure 1D and E), indicating broncholithiasis and right upper lobe invasive aspergillosis.
Chest computed tomography (CT), bronchoscopic changes, and pathological findings in February 2022.
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Multiple foci of calcification were seen in the right lung hilar, and calcified lymph nodes were seen in the mediastinum (Figure 2A). A stone-like mass was discovered in the anterior section of the upper right lung on bronchoscopy (Figure 2B), and white pus was seen on flushing. Mucosal biopsy pathology showed chronic inflammation of the mucosa with calcification (Figure 2C).