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A young lifelong non-smoking patient presented to the emergency department after an episode of haemoptysis following a 2-month history of weight loss, cough and fever. He had a history of pulmonary tuberculosis during childhood, for which he completed 6 months of treatment. An initial non-contrast CT of the thorax revealed a right lower lobe opacity suggestive of necrotising pneumonia with an endobronchial lesion in the bronchus intermedius and associated mediastinal and hilar lymphadenopathy (figure 1). A subsequent CT angiogram revealed bilateral hypertrophic bronchial arteries and a 6 mm intrapulmonary pseudoaneurysm arising from the right bronchial artery (BA), forming …
Contributors MRV, BH, CR and KC: conception, data acquisition, drafting the manuscript and final approval. HBG and GE: critically revising and final approval.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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