case_images: PMC9396231_01
case_images: (A) Chest radiograph, showing right upper-lobe volume loss and intracavity mass, as 
  well as large posterior right lower-lobe cyst.. (B) Chest radiograph, showing large posterior right lower-lobe cyst.
case_images: AJTCCM-28-2-178-fig1.jpg
case_images: PMC9396231_01_AJTCCM-28-2-178-fig1.jpg
case_images: F1
case_images: A 54-year-old woman was referred to our hospital for assessment  of 'multiple round cystic opacities varying in size' seen on a chest  radiograph (Fig. 1A and B) and a concern for possible lung malignancy.   The chest radiograph (Fig. 1A) showed right upper-lobe volume loss  with the trachea deviated to the right, crowding of ribs, right upper-zone patchy opacity with possible intracavity mass with crescent of  air and marked pleural thickening, large posterior right lower-lobe  round opacity (Fig. 1B) and smaller right middle-lobe round opacity  with marked bronchial wall thickening but no pleural effusions.
case_images: (A) Computed tomography scan of the chest, showing multiple low-density material with gas locules in the right upper-lobe cavities, in keeping 
  with aspergillomas.. (B) Computed tomography scan of the abdomen, showing large cysts in the liver and spleen.
case_images: AJTCCM-28-2-178-fig2.jpg
case_images: PMC9396231_01_AJTCCM-28-2-178-fig2.jpg
case_images: F2
case_images: A CT scan  of the chest (Fig. 2A) revealed a large right  lower-lobe cyst (8 x 8 cm), with significant  right middle- and upper-lobe scarring,  traction bronchiectasis/bronchiolectasis  and lung cavities containing low-density  material with gas locules, in keeping with  aspergillomas. The left lung had a small well-circumscribed superior lingual cyst (19 mm),  while the upper abdomen (Fig. 2B) revealed  two large cysts in the liver (9.5 x 7.0 cm)  and spleen (15 x 10 cm).