* A 59-year-old man with coal worker's pneumoconiosis presented symptoms like chronic dyspnea, hemoptysis, and a large cavitary lung lesion, with a history of smoking and past lung imaging showing progressive changes over the years.
* After negative tuberculosis tests, a biopsy revealed pulmonary aspergillosis, resulting in treatment and a diagnosis of chronic cavitary pulmonary aspergillosis (CCPA), which later progressed to chronic fibrosing pulmonary asper