Case presentation
A 9-year-old male child with chronic productive cough and occasional
fever since six months ago referred to our clinic. He had severe weight
loss in this period. Two months before admission, he had massive
hemoptysis and clubbing. There was no shortness of breath or Respiratory
distress. He had a history of tonsillectomy 2 years ago and no exposure
to tuberculosis case. Theophylline, Guaifenesin and Cefixime have been
administered for him. There no history of familial pulmonary disorder.
At admission, his vital signs were stable. In the examination, there was
decreased pulmonary sound in right lung. There was clubbing in upper and
lower limbs fingers. His chest x-ray is shown in figure1. In his
pre-admission computer tomography (CT) scan, a mass-like foci in the
right lung was reported.