Abstract

A 23-year-old male college student presented to the emergency department with severe wheezing and dyspnea. On physical examination of the chest, the right lung was clear but breath sounds were absent on the left. A chest radiograph was performed (Fig 1). Computed tomography (CT); (Fig 2) was performed for further evaluation, followed by bronchoscopy with biopsy. Significant hemoptysis developed during the biopsy procedure. The patient was referred for urgent arteriography (Fig 3).

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