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5. Transthoracic percutaneous CT-guided biopsy of the intracavitary lesion

The patient underwent surgical resection of the right lower lobe superior segment cavity and intracavitary mass, which required right pneumonectomy. The patient did well, with resolution of the hemoptysis. Several years later, the patient returned with hemoptysis, and the background lung disease appeared to have worsened. A follow up thoracic CT was performed (Figure 3).

Figure3

Figure 3. Axial thoracic CT at presentation (top image, part of the study shown in 2A) and later following right pneumonectomy when hemoptysis recurred (bottom image).

What is the most likely etiology of the background fibrotic lung disease?

  1. Emphysema with pulmonary fibrosis
  2. Sarcoidosis
  3. Tuberculosis
  4. Neurofibromatosis
  5. Langerhans cell histiocytosis

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