A 40 yrs old man presented with repeated episodes of bronchospasm and hemoptysis .chest X-RAY revealed perihilar bronchiectasis.the most likely diagnosis is

Correct Answer: Bronchopulmonary aspergillosis
Description: The predominant clinical presentation of ABPA is an asthmatic phenotype, often accompanied by cough with production of brownish plugs of mucus. ABPA has also been well described as a complication of cystic fibrosis. Ref Harrison 19th edition pg 1686
Category: Anatomy
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