Chest x ray of patient one month prior to admission
Chest X-ray 10 days prior to admission
Chest x ray of patient 4 days prior to admission
Chest X ray on admission
The chest X rays showed a rapid progression of lung disease- with bilateral upper zone and midzone consolidation and bilateral pleural effusion. Both lower lobes showed bronchiectasis in a central distribution along with centrilobular nodules and tree-in-bud pattern.
Case details kindly provided by Professor Arunaloke Chakrabarti Division of Mycology, Postgraduate Institute of Medical Education, Chandigarh, India