Question:

Which of the following answer choices is/are true?
1. CPA commonly presents with weight loss, malaise and cough
2. Multiple cavities may be seen on CT
3. Fungal balls occur in 90% of cases
4. Complications of CPA include pneumothorax
5. Cavity expansion occurs over months to years





Answer:

The correct answers for the question "Which of the following answer choices is/are true? " are:

1. CPA commonly presents with weight loss, malaise and cough

2. Multiple cavities may be seen on CT

4. Complications of CPA include pneumothorax

5. Cavity expansion occurs over months to years



Explanation

1 often presents with more than one symptom which can be non-specific (typically the patient presents with….)

2 CPA may form multiple cavities which can coalesce (Initial radiographic features are….)

3 Fungal balls occur in ~50% of cases (Initial radiographic features are….)

4 Complications include pneumothorax, haemoptysis and pulmonary fibrosis

5 Progression occurs over months to years (In one of the larger case series…)



From the manuscript:
Chronic pulmonary aspergillosis - longterm follow-up over 20 years, a case report
Radiology Case. 2010 Feb; 4(2):23-30


This article belongs to the Chest section.




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From the manuscript

Chronic pulmonary aspergillosis - longterm follow-up over 20 years, a case report

Free full text article: Chronic pulmonary aspergillosis - longterm follow-up over 20 years, a case report

Abstract
We describe a case of chronic pulmonary aspergillosis complicated with a slowly growing aspergilloma followed for two decades without specific intervention. It developed with no background of local or systemic immune dysfunction in a middle aged female. The case illustrates many features of this disease as well as uniquely documenting the natural radiological evolution from a small non-specific cystic lesion to a massive aspergilloma. The aspergilloma subsequently autolysed and the patient`s condition changed to an allergic phenotype with development of widespread bronchiectasis and pulmonary fibrosis. We briefly discuss the range of disease aspergillus can cause in humans, its differential diagnosis and treatments.






References



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