Bilateral pulmonary aspergilloma: case report.

Bilateral pulmonary aspergilloma colonising an old tuberculous cavity and a pyogenic lung abscess in a 25-year old Ethiopian lady is reported. The diagnosis was based on the findings of a rounded density with typical air crescent sign on a chest x-ray and isolation of Aspergillus species from a bronchoscopic aspirate. Despite the high prevalence of cavity pulmonary tuberculosis, pulmonary aspergilloma is rarely reported from this and other African countries and the likely reasons for this are discussed.