Recurrent Hemoptysis in a 42-year-old Male: What Is Your Diagnosis?

A 42-year-old male nonsmoker presented with recurrent hemoptysis for 12 years requiring two hospitalizations and 11 units of blood transfusion, with occasional low-grade intermittent fever, and cough with scanty expectoration. Examination of lower respiratory system revealed biphasic and coarse crepitations over the left infrascapular area. Investigations revealed the following: Hb=75 gm/L; platelet count=250 × 109/L; prothrombin time=16.2 sec; INR=1.26; blood biochemistry was normal; sputum AFB was negative on 3 occasions. On USG, the whole abdomen was normal. A chest X-ray (Fig. 1) was also done. Subsequently, contrast-enhanced CT scans of thorax were done (Figs. 2 and 3). Finally, aortography was done. (Fig. 4) Received: 21 Dec 2013 / Accepted: 10 Jan 2014 © OMSB, 2014