Abstract
A 37-year-old man had a 3-month history of intermittent hemoptysis, which for 2 days had been associated with wheezing and coughing. Results of physical examination and laboratory tests were within normal limits. He denied asbestos exposure. His medical history was remarkable for pulmonary histoplasmosis diagnosed 18 years earlier on the basis of rising serologic titers. Reportedly, the chest radiograph revealed hilan lymphadenopathy, a poorly defined panenchymal opacity abutting the pleura of the right lower lobe posteriorly, and a moderate right-sided pleural effusion. Wonkup during the initial hospitalization included thoracentesis. Results of cytologic studies were normal, and smears for acid-fast bacilli and cultures for fungi, bacteria, and acid-fast organisms performed on the fluid were all negative. No treatment was instituted, and the patient
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