Subject(s)
Airway Obstruction , Bronchoscopy , Endoscopic Ultrasound-Guided Fine Needle Aspiration , Mediastinitis , Humans , Airway Obstruction/etiology , Airway Obstruction/diagnostic imaging , Bronchoscopy/methods , Endoscopic Ultrasound-Guided Fine Needle Aspiration/methods , Tomography, X-Ray Computed/methodsABSTRACT
Common findings of COVID-19 pneumonia on chest CT images include ground-glass opacities and organizing pneumonia. Here, we present a patient with a history of lung cancer who came to our center for re-staging CT studies, which showed a solitary peripheral lung mass suggestive of lung cancer. While being evaluated for the mass, the patient developed respiratory failure due to COVID-19 pneumonia. After treatment for COVID-19 and recovery, CT showed complete resolution of the solitary peripheral lung mass. This case highlights that COVID-19 can, on occasion, present with CT findings that mimic those of lung cancer.
ABSTRACT
Patients with allergic bronchopulmonary aspergillosis (ABPA), a hypersensitivity reaction to Aspergillus fumigatus, typically present with asthma; the common imaging findings are central bronchiectasis, mucoid impaction, and tree-in-bud opacities. In this report, we discuss the case of a heavy smoker who presented with a large pulmonary mass that was initially presumed to be primary lung cancer and who was ultimately diagnosed with ABPA, which responded favorably to steroid treatment.
