A Series of Transbronchial Removal of Intracavitary Pulmonary Aspergilloma David R. Stather, MD, FRCPC, Alain Tremblay, MDCM, FRCPC, Elaine Dumoulin,

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A Series of Transbronchial Removal of Intracavitary Pulmonary Aspergilloma David R. Stather, MD, FRCPC, Alain Tremblay, MDCM, FRCPC, Elaine Dumoulin, MDCM, FRCPC, Paul MacEachern, MD, FRCPC, Alex Chee, MD, FRCPC, Christopher Hergott, MD, FRCPC, Jacob Gelberg, MD, FRCPC, Gary A. Gelfand, MD, FRCPC, Paul Burrowes, MD, FRCPC, John H. MacGregor, MD, FRCPC, Christopher H. Mody, MD, FRCPC The Annals of Thoracic Surgery Volume 103, Issue 3, Pages 945-950 (March 2017) DOI: 10.1016/j.athoracsur.2016.08.069 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Chest computed tomography (CT) image of symptomatic intracavitary aspergilloma in the lingula (case 2). (B) Chest CT image of empty cavity in a now-asymptomatic patient (case 2) 26 months after bronchoscopic aspergilloma removal. (C) Chest CT image of large, symptomatic right upper lobe aspergilloma (case 3). (D) Chest CT image of empty right upper lobe cavity in an asymptomatic patient (case 3) 24 months after bronchoscopic aspergilloma removal. (E) Chest CT image of the chest of symptomatic intracavitary aspergilloma in left upper lobe (case 4). (F) Chest CT image of the cavity 3 months after second bronchoscopic aspergilloma removal procedure (involving rigid bronchoscopy) in case 4; there has been minor improvement in cavity wall thickness with incomplete aspergilloma resolution. The Annals of Thoracic Surgery 2017 103, 945-950DOI: (10.1016/j.athoracsur.2016.08.069) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Bronchoscopic view into cavity, demonstrating symptomatic, intracavitary aspergilloma using an ultrathin bronchoscope (case 4). (B) Bronchoscopic view of endobronchial entrance to cavity using an ultrathin bronchoscope, demonstrating large pieces of intracavitary aspergilloma that were removed from the cavity, to later be removed from the airway using a foreign body basket retrieval device (case 4). (C) Bronchoscopic view into empty cavity after bronchoscopic aspergilloma removal (case 4). The Annals of Thoracic Surgery 2017 103, 945-950DOI: (10.1016/j.athoracsur.2016.08.069) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions