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BMJ Case Reports 2017; doi:10.1136/bcr-2017-221591
  • Images in…

Allergic bronchopulmonary mycosis presenting as a new lung mass

  1. Labib Gilles Debiane1
  1. 1Department of Pulmonary Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA
  2. 2Pulmonary Department, Clinica Alemana de Santiago SA, Vitacura, Metropolitan Region, Chile
  1. Correspondence to Dr Carlos A Jimenez, cajimenez{at}mdanderson.org
  • Accepted 29 September 2017
  • Published 11 October 2017

Description

A 69-year-old man with invasive pancreatic ductal adenocarcinoma underwent pancreaticoduodenectomy and adjuvant chemotherapy. Three years later, a right upper lobe (RUL) lung mass was noted on surveillance imaging, suspicious for disease recurrence. He was treated for bronchitis and remained asymptomatic 4 months later with an unremarkable physical exam. Chest imaging (figure 1A,B) showed an RUL central mass with an infiltrative pattern of growth and right paratracheal adenopathy that is negative for malignancy on endobronchial ultrasound-guided needle aspiration. Bronchoalveolar lavage and brushing grew branching septate hyphae identified as Bipolaris species. The presence of cylindrical bronchiectasis with bronchial …

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