A New Mass in an Old Lung Cavity

A 51-year-old man with a history of treated Tuberculosis presents with hemoptysis. A new CT scan reveals a concerning mass within an old lung cavity.

Voriconazole


A 51-year-old man from the Democratic Republic of Congo presented to the emergency department with a 1-week history of small-volume hemoptysis. Sixteen months before presentation, computed tomography (CT) of the chest had shown a right upper lung cavitation that was a sequela of treated pulmonary tuberculosis (top). At the current presentation, a repeat CT of the chest showed thickening of the wall of the right upper lung cavitation and a new intracavitary mass (bottom). Which of the following agents may be used in the management of this condition?

What is the most likely diagnosis?

Azithromycin
Rifampin
Rituximab
Trimethoprim-sulfamethoxazole
Voriconazole

Aspergilloma, Aspergillus, Hemoptysis, Tuberculosis, Voriconazole

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