30th July 2023

A 42 year old woman is referred to respiratory for investigation of a chronic cough.

A 42 year old woman is referred to respiratory for investigation of a chronic cough. She describes episodic symptoms of increased sputum production, wheezing and fever. The titre of serum Aspergillus levels is elevated, and the chest x-ray shows a mass in the right upper lobe.

Which of the following is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.