case_images: PMC8179993_01
case_images: timeline of this case
case_images: PAMJ-38-285-g001.jpg
case_images: PMC8179993_01_PAMJ-38-285-g001.jpg
case_images: F1
case_images: She had fever, fatigue and weight loss without other extra pulmonary manifestations (Figure 1).
case_images: chest X-ray showing bilateral excavated opacities in the upper lungs
case_images: PAMJ-38-285-g002.jpg
case_images: PMC8179993_01_PAMJ-38-285-g002.jpg
case_images: F2
case_images: Chest X-ray showed bilateral excavated opacities in the upper lungs (Figure 2).
case_images: CT scan with multiple bilateral excavated nodules, reduction in the right main bronchus caliber with mediastinal lymphadenopathy
case_images: PAMJ-38-285-g003.jpg
case_images: PMC8179993_01_PAMJ-38-285-g003.jpg
case_images: F3
case_images: The chest computed tomography (CT) found multiple bilateral excavated nodules with the reduction of the right main bronchus caliber and mediastinal lymphadenopathy (Figure 3).
case_images: CT scan of the sinus showing filled maxillary and sphenoid sinuses with wall thickening, a polypoid mass of the right middle meatus and nasal septum erosion
case_images: PAMJ-38-285-g004.jpg
case_images: PMC8179993_01_PAMJ-38-285-g004.jpg
case_images: F4
case_images: The CT-scan of the sinus showed filled maxillary and sphenoid sinuses with wall thickening, a polypoid mass of the right middle meatus and nasal septal erosion (Figure 4).
case_images: bronchoscopy showing inflammation and infiltration of the bronchial tree, covered with whitish granulations
case_images: PAMJ-38-285-g005.jpg
case_images: PMC8179993_01_PAMJ-38-285-g005.jpg
case_images: F5
case_images: The bronchoscopy revealed an infiltration of the entire bronchial tree which was covered by whitish granulations, with narrowing of the orifice of the intermediate trunk, as well as the bronchi of the upper right lobe (Figure 5).