TB or not TB?

27 y/o Egyptian Male presents with cc of progressive hemoptysis and weight loss while on treatment for TB. Imaging reveals a large LLL cavitary lesion with multiple heterogeneous peripheral cystic/cavitary lesions. What’s going on?

Key topics covered: 1)Differential for hemoptysis; 2) treatment regimen in TB, MDR-TB & XDR-TB; 3) cystic versus cavitary lesions

Current Concepts in Management of Tuberculosis (Mayo Clinic Proceedings)

Cystic and cavitary Lung Disease: Focal & Diffuse