Unusual case of unilateral whiteout on chest radiograph with evidence of previous pulmonary tuberculosis exposure

Pulmonary hypoplasia is a rare congenital anomaly owing to the under development of lung tissue and usually present in childhood. We present an asymptomatic lady in her second decade with a unilateral hemithorax abnormality on her chest radiograph likely due to pulmonary hypoplasia. She also had evidence of previous pulmonary tuberculosis exposure with intra-pulmonary cavity and demonstrating a mass within that cavity consistent with aspergilloma. This case illustrates a rare congenital condition presenting in adulthood with evidence of chronic pulmonary infections.