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Article in Japanese
Abstract
Diagnostic Imaging
A case of allergic bronchopulmonary mycosis with pulmonary varix
Hideto Oshita Misato Ogata Asami Inoue Yuka Sano Koji Yoshioka Yasuhiko Ikegami
Department of Respiratory Medicine, Federation of National Public Service and Affiliated Personnel Mutual Aid Associations, Yoshijima Hospital
ABSTRACT
A 67-year-old woman who was previously suspected of having allergic bronchopulmonary mycosis (ABPM) returned to our hospital because of chest radiograph abnormalities. Chest computed tomography (CT) showed central bronchiectasis and mucous plugs, as well as increased nodular shadowing in the lower lobe of the left lung. Contrast-enhanced CT confirmed the continuity of the nodular shadow of the left lung with the pulmonary veins and the contrast-enhanced effect. She underwent a left lower lobectomy and was finally diagnosed with pulmonary varix. Since both vascular lesions and mucous plugs due to ABPM can exhibit smooth nodular shadows, they should be differentiated by focusing on the contrast effect, continuity with bronchi or blood vessels, and internal CT values.
KEYWORDS
Pulmonary varix Allergic bronchopulmonary mycosis (ABPM) High attenuation mucus (HAM)
Received 23 Jun 2022 ／ Accepted 4 Aug 2022
AJRS, 11(6): 370-373, 2022
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