Findings
- Patchy airspace opacification in the periphery of both lungs with central sparing (reverse batwing pattern)
- No pleural effusion or pneumothorax
- Normal size and configuration of the cardiopericardial silhouette
Diagnosis
Aspergillus pneumonia
Sample Report
Bilateral peripheral airspace disease for which the primary diagnostic considerations include atypical infection, noncardiogenic edema, eosinophilic pneumonia, and chronic interstitial lung disease. Consider chest CT for further evaluation.
No pleural effusion.
Discussion