A 40 year old man presented with repeated episodes of bronchospasm and hemoptysis. Chest X-ray revealed perihilar bronchiectasis. The most likely diagnosis is :
Answer is D (Bronchopulmonary Aspergillosis): Coexistence of repeated of bronchospasm (asthma), Central (perihilar) bronchiectasis and haemoptysis suggest a diagnosis of allergic bronchopuhnonary aspergillosis. The questions gives us three leads: bronchospasm, hemoptysis, bronchiectasis. Presence of repeated episodes of bronchospasm indicates towards a possible existence of asthma. Hemoptysis, central bronchiectasis are well known complications of Allergic Broncho Pulmonary Aspergillosis. All three of these features are consistent with the diagnosis of ABPA.
Sarcoidosis
Idiopathic pulmonary fibrosis
Extrinsic allergic alveolitis
Bronchopulmonary aspergillosis