PMC3964174_01
Cystic changes with mycetoma in the apex of the left lung.
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Further work-up with a chest computed tomogram (Figure 1) revealed irregular speculated density, representing a cavitary lesion filled with mycetoma (fungal ball), numerous nodules scattered throughout both lungs and extensive bullous disease, especially at the left upper lobe.
Region with bronchogenic cyst-like structures showing components of bronchial wall, including mucinous glands and cartilage.
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Left upper lung biopsy revealed CPAM type 1 with aspergilloma (Figures 2 and 3).
Clusters of Aspergillus hyphae.
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Left upper lung biopsy revealed CPAM type 1 with aspergilloma (Figures 2 and 3).