Figure 1. Chest radiograph showing bilateral upper lobe chronic pulmonary aspergillosis, which can be easily mistaken for pulmonary tuberculosis. White arrows indicate areas of abnormality (some pleural thickening and opacification) in both apices, which are similar, although slightly more obvious, to findings in pulmonary tuberculosis. Black arrow indicates the trachea pulled to one side by the contraction and fibrosis on that side. Image used with permission of David Denning (©2016, all rights reserved).