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Allergic Bronchopulmonary Aspergillosis is a relatively rare entity that creates a diagnostic difficulty in the absence of typical clinical and radiological presentation. In some cases chest CT scan may indicate a diagnosis of lung cancer, and biopsy may show pneumocyte atypia, acute and chronic inflammation but not frankly malignant cells. In these circumstances simulating a lung tumor the physicians should consider Allergic Bronchopulmonary Aspergillosis , and cytological findings of numerous eosinophils in the bronchial washing could prompt further microbiological tests to improve the differential diagnosis and avoid unnecessary surgery.
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