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A 42-year-old man presented with hemoptysis after a bicycle accident. Computed tomographic scanning revealed a calcified mediastinal lymph node close to the right mainstem bronchus (Panel A, arrow). Fiberoptic bronchoscopy revealed a bleeding endobronchial mass (Panel B, arrow). Virtual bronchoscopy demonstrated that the mass represented mucosa overlying a calcified lymph node (Panel C, arrow). The patient was given a diagnosis of broncholithiasis. The patient's medical history revealed an episode of severe community-acquired pneumonia in western Illinois 20 years earlier, when histoplasmosis was suspected. He had no further hemoptysis, and resection was considered to be unnecessary. Mycobacterium tuberculosis is the most . . . [Full Text of this Article] |
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