Aspergilloma: Difference between revisions
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{{Aspergilloma}} | {{Aspergilloma}} | ||
{{CMG}} | {{CMG}} | ||
==Diagnosis== | ==Diagnosis== | ||
Revision as of 14:31, 25 September 2012
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Aspergilloma Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Aspergilloma On the Web |
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American Roentgen Ray Society Images of Aspergilloma |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Diagnosis
The imaging findings are
- Intracavitary mass
- Usually in upper lobes
- Air may surround aspergilloma (Monod sign). This is not to be confused with the Air crescent sign seen with invasive apergillosis
- Moves with changing positions
- Adjacent pleural thickening is common
Treatment
Most cases of aspergilloma do not require treatment. Treatment of diseases which increase the risk of aspergilloma, such as tuberculosis, may help prevent their formation. In cases complicated by severe hemoptysis, surgery may be required to remove the aspergilloma and stop the bleeding. There has been interest in treatment with anti-fungal medications such as itraconazole, but as of 2005, none has been shown to eradicate aspergillomas.
References
- Soubani AO, Chandrasekar PH. The clinical spectrum of pulmonary aspergillosis. Chest. 2002 Jun;121(6):1988-99. Review. PMID 12065367