Dear Dr. Angela Can you elaborate on this x ray....i.e points in favor of aspergillosis ( becos without a history, it is difficult to call it aspergillosis) A history of long standing asthma which has suddenly become refractory and is associated with fever, cough and black or grey sputum would make one think and look for bronchiectasis or a gloved finger sign ( finger-like projections from hilum from bronchial mucoid impaction in allergic bronchopulmonary aspergillosis or asthma )..see image below and atelectacis in the parenchyma supplied by the affected bronchi. Or a history of cavitory disease like TB would encourage one to look for fungal mass ( see image below )
