case_images: PMC2823679_01
case_images: A and B: CT scan showing a large excavated pulmonary mass of the pulmonary left inferior lobe, outlined by a glassy feature and associated with pleural effusion (A. Non injected CT scan; B Injected CT scan). C. Mycotic filaments showing the morphological features of aspergillosis isolated from the BAL (Gomori-Grocott silver method x 1000). D. Gross macroscopy of the resected pulmonary lobe showing a hemorrhagic infarct.
case_images: 1746-1596-5-1-1.jpg
case_images: PMC2823679_01_1746-1596-5-1-1.jpg
case_images: F1
case_images: A computed tomographic scan of the chest showed a not well-circumscribed and excavated mass mass involving the pulmonary inferior left lobe, bilateral pleural effusions, and a small parenchyma nodule in the pulmonary inferior right lobe (Fig. 1A et 1B). An analysis of the BAL was quickly performed due to the presence of Aspergillus fumigatus in sputum: cytopathological examination showed filamentous hyphae corresponding to aspergillosis (Fig. 1C). Gross macroscopy demonstrated a diffuse hemorrhagic infarct of the lung (Fig. 1D).