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Case of the Week 554


What is the most likely diagnosis?

  • 49 year-old with a previous history of sarcoid who develops hemoptysis



Axial CT Scan of the Upper Chest

  1. Coccidioidomycosis
  2. Angiosarcoma
  3. HIV Infection
  4. Gastric Carcinoma
  5. Aspergilloma

Additional Images - None

 

Additional Images

 


None


Answer:

 

5. Aspergilloma

 

More (Click Discussion Tab)

 

 

Aspergilloma

General Considerations 

  • Caused by Aspergillus fumigatus-soil
    fungus  
  • Non-invasive Aspergillosis 
  • Colonization of pre-existing cavity 
  • Most frequently TB cavity or Sarcoid

MORE . . .

 


.

This Week

49 year-old with a previous history of sarcoid who develops hemoptysis
 
 
Some of the fundamentals of interpreting chest images
 
The top diagnostic imaging diagnoses that all medical students should recognize according to the Alliance of Medical Student Educators in Radiology
 
Recognizing normal and  key abnormal intestinal gas patterns, free air and abdominal calcifications
 
Recognizing the parameters that define a good chest x-ray; avoiding common pitfalls
 
How to recognize the most common arthritides




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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.