Case presentation
A 9-year-old male child with chronic productive cough and occasional fever since six months ago referred to our clinic. He had severe weight loss in this period. Two months before admission, he had massive hemoptysis and clubbing. There was no shortness of breath or Respiratory distress. He had a history of tonsillectomy 2 years ago and no exposure to tuberculosis case. Theophylline, Guaifenesin and Cefixime have been administered for him. There no history of familial pulmonary disorder. At admission, his vital signs were stable. In the examination, there was decreased pulmonary sound in right lung. There was clubbing in upper and lower limbs fingers. His chest x-ray is shown in figure1. In his pre-admission computer tomography (CT) scan, a mass-like foci in the right lung was reported.