Aspergilloma

Key points

• An aspergilloma is a mycetoma (mass-like fungus ball) which often colonises an existing lung cavity (e.g. secondary to tuberculosis, lung cancer or cystic fibrosis) Usually asymptomatic but features may include
• haemoptysis (may be severe) Investigations chest x-ray containing a rounded opacity high titres Aspergillus precipitins Aspergilloma in a patient with cavities secondary to previous tuberculosis infection.
• often colonises an existing lung cavity (e.g. secondary to
• tuberculosis, lung cancer or cystic fibrosis)