PMC5061306_01
a: Collapse of the left lower lobe. b: Disappearance of infiltration in left lung.
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CT scan of the chest demonstrated collapse of the left lower lobe and mucus bronchograms in the central bronchi (Fig. 1a). Three weeks later, however, symptoms did not improve and a second chest CT showed radiological disappearance of infiltration and collapse on the left lung (Fig. 1b) and new focal ground-glass opacities involving base of the right upper and right middle lobe were seen (Fig. 2).
a-b-c: Cavitary lessions and new collapse consolidation area on the left lower lobe.
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On the left lower lobe from the new collapse consolidation area were also seen (Fig. 3a-3b-3c).
Aspergillus hyphae.
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Aspergillus (Fig. 4). As there was a strong clinical suspicion about COP because of migratuar infiltration we decided to perform TTNB from the area of collapse and consolidation on the right lower lobe.
Collapse and consolidation on the left lower lobe after 1.5 year.
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CT scan of chest revealed collapse and consolidation on the left lower lobe (Fig. 5) and flexible bronchoscopy was performed to the patient again.