To analyse the radiological findings of 18 patients with proven allergic bronchopulmonary aspergillosis and correlate the radiological findings with specific IgE levels.
18 patients diagnosed to have ABPA on basis of history of asthma, peripheral eosinophilia, raised IgE levels for Aspergillus fumigatus, chest X-ray, CT scan abnormalities and spirometry were analysed.
We found fleeting shadows in 11 patients, of which 10 had proximal bronchiectasis on CT. Radiological evidence of proximal bronchieactasis correlates with high titers of IgE & severity of restriction. Severity of obstruction correlates better with high titers of IgE as compared to severity of restriction.
High index of clinical suspicion for ABPA is warranted in patients of Bronchial Asthma. Further prospective long term follow up is needed to plan better investigatory and management options for better treatment outcome.
It is easier to detect clinically & radiologically occult ABPA infections amongst Asthmatic populations & formulate better management plans to decrease respiratory morbidity.
Radiological Manifestations in ABPAChest X-ray(n = 18)CT Thorax(n = 15)Consolidation05Consolidation05Fleeting shadows11Proximal bronchiectasis10Bronchiectasis02Distal tubular06Hyperinflation01Bronchiectasis03Adenopathy01Emphysematous changes02Normal01Adenopathy00Normal
N.N. More, None.