History

•18 years ago, HBV detect

•3 years ago, LC-B Dx

•8 years ago, Liver transplantation

•2 years ago, advance gastric carcinoma, total gastrectomy

•10 days ago, Kidney transplantation

A 62-yr-old man with cough and sputum

Multifocal patchy ground-glass lesions on the both lungs

Multiple cavitary nodules and consolidation on the both lungs

Multiple cavitary nodules and consolidation on the both lungs

Multiple cavitary nodules and consolidation on the both lungs

Left upper lobe: Multiple necrotic nodules with cavitation (cavitated infarct)

A necrotic nodule with cavitation and funfal organisms (arrows)

Acute invasive aspergillosis

A necrotic nodule with cavitation and funfal organisms (arrows)

Acute invasive aspergillosis

A necrotic nodule with cavitation and funfal organisms (arrows)

Acute invasive aspergillosis

Fungal organisms in cavitated infarct

Acute invasive aspergillosis

Fungal organisms in cavitated infarct