Pulmonary aspergillosis: unusual radiographic appearance

Three cases of pulmonary aspergillosis are reported in which a seldom-mentioned radiographic feature was seen, namely, a stable, well-defined nodule or mass. The diagnosis of aspergillosis was based on results of transthoracic needle aspiration biopsy. Computed tomographic scans obtained before biopsy revealed no evidence of underlying cavitary disease. Two patients had hemoptysis. The nodule in the third patient was found on a routine chest radiograph.