This 24-year-old male with AML on chemotherapy developed recent onset fever and cough. B- Representative section of High Resolution CT shows centri-lobular nodules, â€˜tree-in-bud' appearance consistent with bronchogenic spread of disease.
<p>This patient was proven to have airway invasive aspergillosis. Though similar appearances can be caused by active tubercular/ viral bronchiolitis and even aspiration pneumonia.</p>
With thanks to Dr Sanjay Sharma, Dept Radiodiagnosis , All India institute of Medical Sciences , New Delhi 110 029 India .