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Thorax 64:697 doi:10.1136/thx.2008.106260a
  • Pulmonary puzzle

ANSWER

From the question on page 682

Considering the remarkable response to chemotherapy, the new lung nodule did not seem to be a metastatic lesion of the primary lung cancer. Percutaneous needle aspiration showed abundant aspergillus fungal hyphae on specimens. Taking the clinical course into account, a final diagnosis of chronic necrotising pulmonary aspergillosis was made (fig 1A). After …