Medical image of the month: aspergilloma – Monod’s sign

• Main Authors: Gunasekaran K, Palanisamy N, Patrucco Reyes S, Shetty S
• Format: Article
• Language: English
• Published: Arizona Thoracic Society 2020-06-01
• Series: Southwest Journal of Pulmonary and Critical Care
• Subjects: aspergilloma; ct scan; monrod's sign; hemoptysis; aspergillosis; supine; prone; diagnosis; treatment; voriconazole
• Online Access: https://www.swjpcc.com/imaging/2020/6/2/medical-image-of-the-month-aspergilloma-monods-sign.html

No abstract available. Article truncated after 150 words. A 58-year-old man with a history of human immunodeficiency virus on antiretroviral therapy, bullous emphysematous lung with right upper lobe cavity presented with hemoptysis for three days. On presentation, he was afebrile, with normal oxygen saturation on room air and reduced bilateral breath sounds. Computed tomography (CT) of the chest showed a thick wall cavity at the right upper lobe, with a 3 cm heterogeneous mass at the posterior aspect of the cavity (Figure 1 A). When the patient was placed in the prone position, the soft tissue lesion displaced anteriorly (Figure 1B) showing gravity-dependency (Monod's sign). His serum Aspergillus fumigatus antibodies were also positive. The patient was diagnosed with aspergilloma and started on voriconazole initially. However, because of recurrent hemoptysis, the patient was scheduled to undergo surgical excision. Saprophytic aspergillosis is the causative organism for the development of an aspergilloma (1). It results from colonization of fungus in a …