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Old 10-31-2011
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Lungs Migratory Pulmonary Infiltrates!

Over several weeks, a patient who is healthy except for a longstanding history of stable asthma develops progressively worsening coughing and wheezing. She reports occasionally expectorating flecks of blood. Serial chest X-rays shows a migratory pattern of pulmonary infiltrates. What is the likely diagnosis?
  • A. Secondary tuberculosis
  • B. Legionella pneumonia
  • C. Allergic bronchopulmonary aspergillosis
  • D. Primary tuberculosis
  • E. Parainfluenza infection
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dr.muhamad (10-31-2011)



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Old 10-31-2011
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C. Allergic bronchopulmonary aspergillosis
maybe because hx of asthma (Ig E) and pul infltrate
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Old 10-31-2011
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i think it is C but i need to know why migratory things on the CXR
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the answer is allergic bronchopulmonary aspergillosis
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