Intended for healthcare professionals

Endgames Spot Diagnosis

Cough and haemoptysis in an older woman

BMJ 2016; 354 doi: (Published 26 August 2016) Cite this as: BMJ 2016;354:i4493
  1. Joseph Dalby Sinnott, core surgical trainee1,
  2. David C Howlett, consultant radiologist2
  1. 1Department of Surgery, East Sussex Hospitals NHS Trust, Eastbourne, UK
  2. 2Department of Radiology, East Sussex Hospitals NHS Trust
  1. Correspondence to: J D Sinnott j.d.sinnott{at}

A 72 year old woman was referred to the respiratory clinic with a recent history of cough and haemoptysis. She had no history of smoking or weight loss. What does this plain chest radiograph show (fig 1)?

Fig 1


A pulmonary fungal ball within the …

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