Page 8 / Case 10.03
– There is a globular contrast enhanced mass representing a pseudo-aneurysm /aneurysm. Its neck measures 2mm with a maximal diameter of 1.5 cm
– The pseudo aneurysm projects into the previous necrotic cavity.
– There is still a dense consolidation in the right lower lobe with patchy parenchymal opacity in the left lower lobe and lingula.
ANSWER
– There has been a change within the necrotic cavity.– There is a globular contrast enhanced mass representing a pseudo-aneurysm /aneurysm. Its neck measures 2mm with a maximal diameter of 1.5 cm
– The pseudo aneurysm projects into the previous necrotic cavity.
– There is still a dense consolidation in the right lower lobe with patchy parenchymal opacity in the left lower lobe and lingula.
DIAGNOSIS
The diagnosis is a pseudo- aneurysm in keeping with the angio-invasive nature of Invasive Pulmonary Aspergillosis.WHAT WOULD BE YOUR THERAPEUTIC APPROACH NOW?
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