222Lu Aspergilloma Air Crescent Sign

66 Year Old Malnourished Immunodeficient Male

66 year malnourished immunodeficient male with right upper lobe aspergilloma in the lung
3D CT shows cachectic chest abdomen and pelvis
Ashley Davidoff TheCommonVein.net
66 year malnourished immunodeficient male with right upper lobe aspergilloma in the lung
3D CT shows cachectic chest abdomen and pelvis
Ashley Davidoff TheCommonVein.net

Frontal CXR Shows Right Upper Lobe Nodule

Frontal CXR with Right Upper Lobe Nodule
66 year malnourished immunodeficient male with right upper lobe aspergilloma in the lung
Frontal CXR with Right Upper Lobe Nodule
Ashley Davidoff TheCommonVein.net

Lateral CXR Shows Pectus Excavatum and Pectus Carinatum

Lateral CXR Shows Pectus Excavatum and Pectus Carinatum
66 year malnourished immunodeficient male with right upper lobe aspergilloma in the lung
Lateral CXR shows pectus  excavatum and pectus carinatum with flattened hemidiaphragms
Ashley Davidoff TheCommonVein.net

Aspergilloma – CT Air Crescent Sign 

CT scan in the axial projection with the patient in the supine position shows a soft tissue mass in the right upper lung field with an anterior crescent shaped rim of air with some areas of small foci of air collection in the periphery of the matrix of the aspergillus fungus ball
Ashley Davidoff TheCommonVein.net

 

CT scan at the level of the aortic arch shows a mass in the anterior segment of the right upper lobe of the lung characterised by a c shaped or crescent shaped anterior rim of air with ball of soft tissue, reminiscent of the crescent sign most characteristic of an aspergillus infection of a cavity and resulting in an aspergilloma.
Ashley Davidoff TheCommonVein.net

Aspergilloma – CT Air Crescent Sign Changing Position with Patient Positioning

Aspergilloma – CT Air Crescent Sign Changing Position with Patient Positioning
CT scan in the axial projection with the patient in the supine position shows a soft tissue mass in the right upper lung field with an anterior crescent shaped rim of air (blue arrowheads) anterior to the aspergillus fungus ball (a, magnified in b) 
Since the fungus ball is movable, when the patient is placed in the the left decubitus position c and d), the  fungus ball “sinks” to the dependent position and the air moves to the most superior position (blue arrowheads)
Ashley Davidoff TheCommonVein.net 78612a L

Ill defined Nodules in the Liver and Spleen

Ill defined Nodules in the Liver and Spleen
66 year malnourished immunodeficient male with right upper lobe aspergilloma in the lung
CT scan in the axial projection shows multiple ill defined nodules in the the liver and spleen (white arrowheads in b, suggesting fungal deposits in the clinical context
Ashley Davidoff TheCommonVein.net 20762