COD 137 - Validation of the "Scab-Like" Sign

The "scab-like" sign helps pick up early CPA/CCPA

Bhavin Jankharia

429-years old with PTLD had fever and weight loss. CT in July 2025 showed a "scab-like" sign, suggesting chronic pulmonary aspergillosis (CPA). This was also discussed in Case of the Day 16 and in Case 20

Case 20: “Scab-Like” Sign for Chronic Cavitary Aspergillosis
Post-tuberculous cavities with the “scab-like” sign predicting chronic cavitary pulmonary aspergillosis

The video describes the case and how the diagnosis was validated on bronchoscopy and more importantly on the recent follow-up CT scan

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