Aspergilloma

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[edit] Discussion of Aspergilloma

  • AKA mycetoma
  • "Fungus ball" consisting of fungus, mucus, and inflammatory cells.
  • Grows within a pre-existing cavity (i.e. cavity from tuberculosis or bulla from emphysema).
  • Commonly a solitary lesion that is located in the upper lobes.
  • Treatment is surgical resection and intracavitary antifungal agents.

[edit] Imaging Findings for Aspergilloma

  • Intracavitary mass
  • Usually in upper lobes
  • Air may surround aspergilloma (Monod sign). This is not to be confused with the Air crescent sign seen with invasive apergillosis
  • Moves with changing positions
  • Adjacent pleural thickening is common

[edit] Images

Patient #1

[edit] See Also

[edit] External Links

[edit] References for Aspergilloma