Howard Mann, MD
To the Editors: In their case report, Hantsch and Tanus (1) describe hilar adenopathy in association with allergic bronchopulmonary aspergillosis. As a radiologist, I am concerned about their analysis of the radiographs presented.
I believe the perihilar opacities shown in Figure 1 (1) are typical of dilated, mucus-filled central bronchi. The investigators state that "subtle findings consistent with central bronchiectasis were detected on retrospective evaluation of a computed tomographic scan of the chest." The opacities shown would be evident on a computed tomographic examination, which would also permit the distinction between dilated bronchi and lymph node enlargement. Unfortunately, appropriate images
Mann H. Hilar Adenopathy in Aspergillosis. Ann Intern Med. ;116:346–347. doi: 10.7326/0003-4819-116-4-346
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Published: Ann Intern Med. 1992;116(4):346-347.
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