Misleading chest radiograph in a case of allergic bronchopulmonary aspergillosis

Abstract

We present a case of apparent convincing bilateral hilar lymphadenopathy on a chest radiograph, which on further investigation was found to be allergic bronchopulmonary aspergillosis with symmetrical bilateral apical lower lobe infiltrates. This case demonstrates the role of three-dimensional imaging for disorders of the hila and mediastinum, which are poorly delineated on plain radiography.