Medical History A 17-year-old female patient with systemic lupus erythematosus undergoing chemotherapy for macrophage activation syndrome. Neutropenic since 4 weeks ago, neutrophils = 0-50 / uL, maintaining fever despite broad spectrum antibiotic therapy (antibacterials + antifungals), with no associated symptoms. She presented a positive serum test of galactomannan. Two computed tomography (CT) scans of the thorax were performed at intervals of one month between them, which are shown below. Image 1: Computed tomography (CT) of the thorax, axial section, supracarinal level, without intravenous contrast medium.Image 2: Computed tomography (CT) of the thorax, axial section, subcarinal level, without intravenous contrast medium, performed one month after the image 1 was obtained.Image 3: Computed tomography (CT) of the thorax, axial section, supracarinal level, without intravenous contrast medium, performed one month after the image 1 was obtained. Question:Based on the clinical data and test results, what is the most likely diagnosis? Pulmonary adenocarcinoma Allergic bronchopulmonary aspergillosis Eosinophilic pneumonia Invasive pulmonary aspergillosis Previous Next Next Time is Up! Time's up
