Simultaneous Hydatid Lung Cyst and Aspergillomas: A Rare Case Report

Pulmonary aspergillosis frequently complicates existing in tuberculosis pulmonary cavity, but the coexistence of aspergillosis and echinococcal cyst is really rare. Here in, we report a case of a 37 years old non-diabetic lady presented to internal department that she treated with the diagnosis of Aspergiloma.  She was admitted in our department with internal medicine consult complaints of cough with productive sputum, chest pain and dyspnea without fever. Clinical examination revealed fine crackles in upper segment of right lung with opacity in the upper zone of right lung in CXR. She has chest CT scan revealed an inflammative mass clinging to the chest wall with cavity in the anterior segment of the right upper lobe and the mass that it seams way out to bronche. When hydatid cysts show typical appearances like “water-lily” or “crescent sign” the diagnosis is straight forward. However, atypical appearances can pose problems.