Findings, case of 26-year-old man, hemoptysis

Imaging Findings

On posteroanterior and lateral radiographs, the cardiac silhouette is normal. There are several opacities in the left lobe superior to the hilum as well as an area of consolidation in the right lung base. Given the patient's history, the differential diagnosis should include tuberculosis, aspergillosis, and (less likely) carcinoma.

High-resolution axial CT images of the chest confirm the area of consolidation in the right lung base. On the image depicting mediastinal windowing, there appears to be a soft tissue mass in the right hilum. Peripheral opacities are also visible. The soft tissue lesion appears to enhance with contrast and to be situated within an airway. The bronchi are dilated.

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