[Frontiers in Bioscience 8, e138-146, January 1, 2003]

ALLERGIC BRONCHOPULMONARY AND SINUS ASPERGILLOSIS: THE ROENTGENOLOGIC SPECTRUM

Ashok Shah

Dept of Respiratory Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, P.O. Box 2101, Delhi - 110007, India

FIGURES

Figure 1. Plain chest roentgenogram showing consolidation in the left mid and lower zones. A left pseudohilar opacity is also seen.

Figure 2. Plain chest roentgenogram of the same patient taken 14 months later showing clearance of the left sided consolidation with the appearance of a consolidation in the right upper and mid zones. An ovoid density is also visible in the left upper zone.

Figure 3. Plain chest roentgenogram of the same patient taken 9 months after the second roentgenogram showing patchy consolidation in all zones of the left lung. 'Gloved fingers' shadows are also visible in the right upper and mid zones. (Figures 1-3 reveal transient pulmonary infiltrates, or 'fleeting shadows', which are characteristic of ABPA.).

Figure 4. Computed tomography of the thorax showing 'string of pearls' appearances, indicative of central bronchiectasis.

Figure 5. Computed tomography of the thorax showing 'signet ring' appearances, indicative of bronchiectasis.

Figure 6. Coronal section of computed tomography of the paranasal sinuses showing mucosal thickening and areas of high attenuation in the sphenoid sinuses. Bony erosion of the lateral wall of the sphenoid sinus is also seen.