Clinical Presentation

A 55-year-old patient presents with hemoptysis. The rate of bleeding is estimated to be 350 mL over the past 24 hours.

(A) Coronal contrast-enhanced computed tomographic (CT) scan shows bilateral cystic bronchiectasis (arrows). (B) Right bronchial arteriogram shows increased vascularity (arrows) but no active extravasation (Simmons 1 catheter).

Differential Diagnosis

• Cystic bronchiectasis causing massive hemoptysis: The only diagnostic consideration.

Essential Facts