The
thallus of
Astrothelium macrostomum is , smooth, somewhat shiny, and continuous, covering areas up to 7 cm in diameter and less than 0.1 mm thick. It appears olive-green to olive-grey, typically lacking a , and induces
gall formation on the host bark, causing the lower bark or
cambium layer to swell and erupt through the upper bark. Ascomata are (pear-shaped), about 0.6–1.2 mm in diameter, usually aggregated in groups of 2–5, and mostly immersed in the bark tissue. The wall is , up to approximately 80
μm thick.
Ostioles are eccentric and fused, with a flat, white- appearance, surrounded by a whitish zone. The does not contain oil lobules.
Asci each contain eight . These ascospores are
hyaline, 5–7-septate, , measuring 65–85 by 16–19 μm, with pointed ends and diamond-shaped , not surrounded by a gelatinous layer. were not observed to occur in this species. ==Chemistry==