Q:

A patient with chronic neutropenia develops a chronic cough. A CXR reveals a cavitating intrapulmonary lesion containing a movable rounded ball lesion. A likely diagnosis is?

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A patient with chronic neutropenia develops a chronic cough. A CXR reveals a cavitating intrapulmonary lesion containing a movable rounded ball lesion. A likely diagnosis is?


  1. Tuberculosis
  2. Bronchiectasis
  3. Cystic fibrosis
  4. Pulmonary hemosiderosis
  5. Mitral stenosis
  6. Aspergillosis
  7. Wegener’s granulomatosis
  8. Goodpasture’s syndrome

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The key is F. Aspergillosis. [Mostly affects people with reduced immunity, reduced neutrophil count is also predilection for aspergillosis].

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