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this mold, all consistent with a diagnosis of ABPA. This novel and unique presentation of ABPA expands on the differential diagnosis of eosinophilic pleural effusions. A 25-year-old current smoker, electrician, with a history of well-controlled asthma not regularly using any medication, was sent to the hospital by his primary care provider for worsening cough, dyspnea on exertion, left-sided pleuritic chest pain and upper back pain, after failing antibiotic treatment for pneumonia diagnosed bydoi:10.1159/000323617 pmid:21311176 fatcat:lke5l43635ge5gxa74ruzwz2zu