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Images in Thorax
Massive haemoptysis TB or not TB
  1. Macarena R Vial1,
  2. Benjamin Horwitz2,
  3. Cristobal Ramos2,
  4. Karen Czischke1,
  5. Georgie Eapen3,
  6. Horiana B Grosu3
  1. 1 Department of Pulmonary Medicine, Clínica Alemana de Santiago, Universidad del Desarrollo, Santiago, Chile
  2. 2 Department of Radiology, Clínica Alemana de Santiago, Universidad del Desarrollo, Santiago, Chile
  3. 3 Department of Pulmonary Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA
  1. Correspondence to Dr Macarena R Vial, Department of Pulmonary Medicine, Clínica Alemana de Santiago, Universidad del Desarrollo, Santiago, Chile; mrodriguezvi{at}alemana.cl

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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 …

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Footnotes

  • 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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