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A large aspergilloma
  1. Marcello Migliore1,
  2. Mariapia Gangemi1,
  3. Damiano Calvo1,
  4. Stefano Palmucci2
  1. 1Section of Thoracic Surgery, Department of Surgery, Policlinico Hospital, University of Catania, Catania, Italy
  2. 2Department of Radiology, University of Catania, Italy
  1. Correspondence to Professor Marcello Migliore, mmiglior{at}

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A 42-year-old man presented with productive cough, haemoptysis, night sweating, temperature 39°C, asthenia and weight loss of 35 kg in 12 months. He had a 25-year history of smoking (40 cigarettes/day) and alcoholism. Laboratory tests showed normochromic normocytic anaemia (haemoglobin 8.8 g/dL, red blood cell 2.72×106/mmc, and mean corpuscular volume 100), neutrophilic leucocytosis and white cell count 17 78×103/mmc). Chest CT scan revealed an excavated lesion in the apico-dorsal segment of the left upper lobe (65×70 mm) with solid vegetation inside, delimitated by a thick wall with polylobate edges, and the suggestive presence of …

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