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A 35 years old female presented with streaky hemoptysis since seven days, without associated chest pain, fever, cough and expectoration. Her chest x-ray showed ill-defined rounded heterogeneous opacity, size approximately 5 × 3 cm in right para hilar region. A differential diagnosis of para hilar mass, cavitatory lesion (tuberculosis, fungal cavity, hydatid cyst and lung abscess), arterio-venous malformation and calcified lymph node was made. Clinical examination of the patient showed no abnormality. To evaluate further, right lateral chest x-ray was advised, surprisingly which was absolutely normal.
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