Medical image of the month: aspergilloma – Monod’s sign

Southwest Journal of Pulmonary and Critical Care

Patrucco Reyes S¹  Palanisamy N¹  Shetty S¹  Gunasekaran K¹ 

[1] Yale New Haven Health Bridgeport Hospital, Bridgeport, CT USA;

关键词: aspergilloma;    ct scan;    monrod's sign;    hemoptysis;    aspergillosis;    supine;    prone;    diagnosis;    treatment;    voriconazole;   

DOI  :  10.13175/swjpcc032-20

来源: DOAJ

【 摘 要 】

No abstract available. Article truncated after 150 words. A 58-year-old man with a history of human immunodeficiency virus on antiretroviral therapy, bullous emphysematous lung with right upper lobe cavity presented with hemoptysis for three days. On presentation, he was afebrile, with normal oxygen saturation on room air and reduced bilateral breath sounds. Computed tomography (CT) of the chest showed a thick wall cavity at the right upper lobe, with a 3 cm heterogeneous mass at the posterior aspect of the cavity (Figure 1 A). When the patient was placed in the prone position, the soft tissue lesion displaced anteriorly (Figure 1B) showing gravity-dependency (Monod's sign). His serum Aspergillus fumigatus antibodies were also positive. The patient was diagnosed with aspergilloma and started on voriconazole initially. However, because of recurrent hemoptysis, the patient was scheduled to undergo surgical excision. Saprophytic aspergillosis is the causative organism for the development of an aspergilloma (1). It results from colonization of fungus in a …

【 授权许可】

Unknown