A 65-year-old woman with asthma was admitted to our hospital with fever, eosinophilia, and abnormal shadows on chest radiography and computed tomography (CT). Chest CT showed infiltrates and ground-glass opacities in both lung fields, especially both upper lobes, and localized central bronchiectasis with highly attenuated mucoid impaction in B⁹b of the right basal bronchus. We extracted a mucus plug, which showed accumulation of eosinophils, by bronchoscopy. Elevation of serum total IgE and positivity for IgE and precipitating antibodies against Aspergillus fumigatus were confirmed. We diagnosed the patient as having allergic bronchopulmonary aspergillosis (ABPA). Although central bronchiectasis was localized in only one bronchial subsegment of the right lower lobe, eosinophilic pneumonia was widely distributed in both lung fields of this patient. The case is valuable when considering the mechanism of eosinophilic pneumonia accompanying A