@adavis98
Text field says “CXR shows lobar infiltrate”
CXR in chronic pulmonary aspergillosis as well as secondary TB would likely have cavitations
https://next.amboss.com/us/article/7f04n2?q=chronic%20pulmonary%20aspergillosis#2VdTFK0
From link above
“Findings include:
Chronic cavitary pulmonary aspergillosis: one or more cavities, often with irregular intraluminal material and/or aspergilloma, pericavitary infiltrates, and/or pleural thickening [4]
Aspergilloma
Mobile fungus ball (visible when the patient is moved from a supine position to a prone or lateral recumbent position)
Monod sign: a peripheral air crescent surrounding a fungus ball in a preexisting lung cavity
The upper lobe is most commonly affected
Aspergillus nodule: one or more nodules (may be cavitated), frequently necrotic
Chronic fibrosing pulmonary aspergillosis: cavities and extensive fibrosis”
Does this answer your question?