PMC4802675_01
Chest radiogram demonstrating multiple opacities.
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Bilateral multiple opacities were detected on the chest X-ray (Fig. 1).
Thorax computed tomogram showing consolidated areas in the lung distributed randomly.
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Computed tomography revealed multiple areas of consolidation distributed randomly throughout the lung (Fig. 2).
The bronchoscopy shows a whitish mass lesion causing partially obstruction of distal the right main bronchus (A), and complete obstruction of entrance the middle lobe bronchus (B).
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Diagnostic flexible bronchoscopy revealed that, distal to the right main bronchus, the right lung middle lobe bronchial entrances were narrowed by a white mass (Fig. 3).
The histologic examination shows numerous hyphae with background necrotic debris hematoxylin and eosin. x400(A), Peryodik Asit Shift(PAS) (B).
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Microscopy of the biopsy samples showed fungal hyphae that stained with Peryodik Asit Shift(PAS) (Fig. 4), and Aspergillus fumigatus was grown in culture.