Allergic bronchopulmonary aspergillosis (ABPA) is a common hypersensitivity reaction to Aspergillus fumigatus in patients with asthma or cystic fibrosis. It is rarely reported in patients without asthma. We hereby presented an ABPA case with an atypical clinical presentation and high attenuation mucoid impaction. Our aim is to emphasize that ABPA can occur with atypical clinical findings.