Aspergillosis is a fungal infection of the lungs, caused by the genus Aspergillus. Aspergillomas form in cavities found within the lungs formed from previous lung disease and can infect other tissues such as skin, sinuses or become disseminated throughout the body. Disseminated aspergillosis develops in severely immunocompromised patients, the critically ill patients and patients on steroids. The present case highlights the importance of early detection and prompt treatment of disseminated aspergillosis with antifungal therapy which if not treated promptly could prove fatal to the patient. The patient responded very well to the treatment and showed clinical, radiological improvement and microbiological clearance.

Tuberculosis (TB) is well known as a diagnostic chameleon as it has often been found to mimic malignancy in its clinical and radiological features. Although the differences between pulmonary TB and lung cancer have been highlighted in various reports, TB often gets misdiagnosed as lung cancer and vice versa. It is therefore extremely important to discern the features of Pulmonary Tuberculosis and lung cancer. This case highlights the importance of early detection and prompt treatment of pulmonary tuberculosis in a health care worker. After initiating the patient on antituberculosis treatment, as a case of clinically diagnosed pulmonary tuberculosis, he responded to treatment and showed good clinical and radiological improvement.

Lung Cancer is the most common cancer worldwide with most cases being detected at Stage IV. Among these, metastases to the clivus are rare with only very few cases reported in literature. The long course of the abducent nerve in relation to the clivus, makes it susceptible for metastases and subsequent lateral rectus palsy. We present the case of a heavy smoker, 64 years old man who presented with headache and diplopia, on evaluation diagnosed as bronchogenic carcinoma with clival metastases on magnetic resonance imaging(MRI).