Images and timeline of Aspergillus infection in patient treated with steroids for management of an immune-related adverse event. (a) Baseline chest CT scan prior to ipilimumab. (b) Three weeks after receiving high-dose immunosuppression for immune-related colitis, CT scans showed cavitary pulmonary consolidations (white arrow). Subsequent bronchoalveolar lavage was consistent with Aspergillus fumigatus pneumonia. (c) After a 14-day treatment with antifungals, repeat CT scan showed radiographic improvement in cavitary consolidations, but increased bilateral pleural effusions. (d) Timeline of described events (not to scale).