American Journal of Roentgenology, Vol 163, 811-815, Copyright © 1994 by American Roentgen Ray Society

ARTICLES

Pulmonary aspergillosis: imaging findings with pathologic correlation

SL Aquino, ST Kee, ML Warnock and G Gamsu
Department of Radiology, University of California, San Francisco 94143- 0628.

Pulmonary involvement with Aspergillus fumigatus is varied and largely dependent on the patient's underlying pulmonary and immune status. Hypersensitivity reactions from inhalation of spores can cause acute allergic alveolitis, and bronchial colonization can cause allergic bronchopulmonary aspergillosis (ABPA). The latter is found mainly in patients with asthma or cystic fibrosis. Mycetomas develop from secondary colonization of preexisting lung cavities. Invasive and semi- invasive aspergillosis affect mostly patients with altered immune status. This essay illustrates the radiologic findings of pulmonary aspergillosis and shows the correlation between the imaging and pathologic findings.
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