Normally worsening respiratory conditions such as COPD, Bronchiectasis, asthma. Cough, breathlessness are common and in some cases haemoptysis. It is often treated as asthma/COPD for some time and it is only when further investigations following increasing and uncontrolled symptoms results in a referral to a local hospital.
A chest x-ray that shows scarring, cavities, growths are often interpreted as possible lung cancer. Once cancer has been eliminated (which can be difficult) patients are referred to more highly specialised services - in the UK there is the National Aspergillosis Centre in Manchester (NAC). www.nationalaspergillosiscentre.org.uk
There are resources online that are worth visiting - www.aspergillosis.org, www.aspergillus.org.uk.