case_images: PMC11447398_01
case_images: CT scan showing A: Aspergillosis subpleural cavitation before pneumothorax; B: left pneumothorax with alveolar-pleural fistula resulting from the rupture of the pulmonary cavitation (white arrow indicates the cross-section of the drain catheter); C: left lung expansion after EBV placement (white arrow indicates the cross-section of the drain catheter); D and E: aspergillosis cavitation disappearing giving place to a residual consolidation.
case_images: gr1.jpg
case_images: PMC11447398_01_gr1.jpg
case_images: fig1
case_images: Two months after this treatment scale-up, a thoracic CT scan revealed the occurrence of cavitation in the subpleural area of the left upper lobe (Fig. 1A). A CT scan showed an alveolar-pleural fistula that occurred because of the rupture of the pulmonary cavitation (Fig. 1B). The examination of the CT scan bronchogram revealed a bronchial connection between the cavitation and the anterior segmental bronchus of the left upper lobe (Fig. 1, Fig. 2). The removal of the thoracic drain taking place two weeks later, following the complete expansion of the left lung (Fig. 1C). Two month after EBV insertion, the cavitation caused by aspergillosis nearly disappeared and was replaced by consolidation (Fig. 1D). One month after the removal of the EBV, the aspergillosis cavitation completely disappeared and was replaced by a residual consolidation (Fig. 1E).
case_images: Flexible bronchoscopy view of A: EBV deployed into the anterior segmental bronchus of the left upper lobe; B: limited granulation and inflammation after EBV withdrawal.
case_images: gr3.jpg
case_images: PMC11447398_01_gr3.jpg
case_images: fig3
case_images: The EBV was effectively removed during a flexible bronchoscopy performed under general anesthesia (Fig. 3).