Prasa R et al. - Coexistence of allergic bronchopulmonary aspergillosis (ABPA), a hypersensitivity disorder to Aspergillus antigen and aspergilloma, a saprophytic colonization of Aspergillus into tracheobronchial tree in same individual is of rare occurrence. Here we report a case of a 37 year male who is a sugar mill worker by occupation. He had taken two courses of adequate anti tubercular treatment without any improvement and was found to have ABPA with aspergilloma