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Diagnostic Imaging Pathways - Haemoptysis

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Post-Primary Pulmonary Tuberculosis

Image 1 (Plain Radiograph): Pulmonary tuberculosis is an important cause of haemoptysis. This chest x-ray demonstrates patchy bilateral opacification of the upper lung lobes with cavitation most marked on the left (arrow) consistent with post-primary tuberculosis.

       
2 Click to view full size image  

Pulmonary Haemorrhage

Image 2 (Plain Radiograph): There is widespread airspace opacification of both lungs with air brochograms. This patient had bilateral pulmonary haemorrhage due to Goodpasture's (Anti-GBM) syndrome.

       
3a Click to view full size image  

Pulmonary Haemorrhage

Image 3a (Plain Radiograph) and 3b (Bronchial Angiogram): Image 3a demonstrates right apical consolidation with cavitation due to mycetoma formation on a background of tuberculosis (arrow). The bronchial artery was embolised with gel foam and coils due to recurrent haemoptysis (Image 3b).

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