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Following chemotherapy for leukaemia, a 6 year old girl developed multiple necrotic mucosal and skin lesions from which Aspergillus flavus was cultured. A chest radiograph (fig 1⇓) revealed bilateral consolidation attributed to either alveolar haemorrhage or aspergillosis. A subsequent computed tomography (CT) scan (fig 2⇓) revealed central cavitation and a unilateral pneumothorax. In invasive aspergillosis initial cavitation, thin ground glass haloes and small pneumothoraces are better detected by CT scan.1
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