To continue my story. The pulmonologist emailed me that chest X-ray does not show changes so the flare up is not from aspergilus- it would show as aspergilus pneumonia and then my symptoms would be much more severe. So I stay on levaquin and do the airway clearing and nebulizing and wait for better. I did not have a chance to ask what is “ severe symptoms”from aspergilus because it was just an email and actually her nurse emails me always on her behalf. So if your aspergilus was treated, what exactly symptoms did you have. I am so new to the flare ups. I think I don’t even know how to recognize one.