Red arrows point to branch points which are at angles less than 90 degrees. Septae are not visible at this power. The green counterstain does not allow identification of tissue detail. Aspergillus spores are widely disseminated in nature.
Inhalation leads to disease.
Organisms will proliferate in a pre-existing cavity in a immunocompetent host. Patients who have bronchiectasis secondary to obstruction, cystic fibrosis, sequestration etc. Patients who have tuberculosis. Patients who have abscesses. Patients with invasive aspergillus will have multiple, hemorrhagic, firm nodules which may be centered around blood vessels.