title: Miliary nodules: An unusual presentation of allergic bronchopulmonary aspergillosis.
abstract: Allergic bronchopulmonary aspergillosis (ABPA) is an immune-mediated inflammatory disease caused by hypersensitivity to Aspergillus fumigatus. A wide spectrum of plain radiographic appearances has been described in ABPA, though none are pathognomonic of ABPA. The common radiological abnormalities encountered are fleeting pulmonary opacities, bronchiectasis, and mucoid impaction. Uncommon radiological findings encountered in ABPA include pulmonary masses, perihilar opacities simulating hilar adenopathy, and pleural effusions. However, miliary nodules as a radiological presentation of ABPA are very rare and only one case has been reported in literature. It is often misdiagnosed and mismanaged as tuberculosis; thus, the clinician should be vigilant enough to diagnose this very rare entity.
authors.affiliation: Department of Pulmonary Medicine, Government Medical College, Patiala, Punjab, India.
authors.forename: Pooja
authors.initials: P
authors.lastname: Aneja
authors.affiliation: Department of Pulmonary Medicine, Government Medical College, Patiala, Punjab, India.
authors.forename: Urvinder Pal
authors.initials: UP
authors.lastname: Singh
authors.affiliation: Department of Pulmonary Medicine, Government Medical College, Patiala, Punjab, India.
authors.forename: Balwinder
authors.initials: B
authors.lastname: Kaur
authors.affiliation: Department of Pulmonary Medicine, Government Medical College, Patiala, Punjab, India.
authors.forename: Kalpesh
authors.initials: K
authors.lastname: Patel
keywords: Allergic bronchopulmonary aspergillosis; miliary; radiology; tuberculosis