Allergic Bronchopulmonary Aspergillosis
A contemporaneous CT demonstrated mucous impaction of bronchi. The patient had peripheral eosinophilia (1200/mm3) and markedly elevated IgE levels. Serum immunoprecipitins to aspergillus fumigatus were positive and a sputum culture grew aspergillus fumigatus. The patient was treated with steroids for a diagnosis of ABPA and his infiltrates resolved.