A patient with chronic neutropenia develops a chronic cough. A CXR reveals a cavitating
intrapulmonary lesion containing a movable rounded ball lesion. A likely dx is?
a. Tuberculosis
b. Bronchiectasis
c. Cystic fibrosis
d. Pulmonary hemosiderosis
e. Mitral stenosis
f. Aspergillosis
g. Wegener’s granulomatosis
h. Goodpasture’s syndrome
i. Pulmonary embolism
j. Non-SCLC
Ans. The key is F. Aspergillosis. [Mostly affects people with reduced immunity, reduced neutrophil count is also predilection for aspergillosis