This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Medicine
All of the following are diagnostic features of allergic bronchopulmonary aspergillosis (ABPA), EXCEPT: 
Select and explain. 
A. Peripheral eosinophilia, B. Changing pulmonary infiltrates, C. Serum precipitins against Aspergillosis fumigants, D. Occurrence in patients with old cavitatory lesions
D: Occurrence in patients with old cavitatory lesions
Answer: D: Occurrence in patients with old cavitatory lesions 
Explanation: Bronchopulmonary aspergillosis results from an allergic pulmonary reaction to inhaled spores of Aspergillus fumigatus. It is characterized by the presence of eosinophilia, chest x ray shows fleeting eosinophilic infiltrates mainly in the upper lobe of the lungs. Bronchopulmonary aspergillosis does not occur in old cavitary lesions. Ref: Harrison's Internal Medicine, 18th Edition, Chapter 254 ; CURRENT Diagnosis and Treatment in Pulmonary Medicine, Chapter 38