Case 333 Medical history Male patient, 47 years old, homeless, smoker (20 pack-years), admitted to the emergency service presenting massive hemoptysis. Pulmonary tuberculosis treated 8 years ago. Urgent rigid bronchoscopy was performed evidencing blood flow through the ostium of the bronchus of the right upper lobe. After stabilization, CT of the chest was requested and, subsequently, right upper lobectomy with posterolateral thoracotomy was performed. Computed tomography (CT) of the chest, axial view, at the supra-aortic trunks level, after intravenous administration of iodinated contrast, arterial phase, lung window.Sagittal view of the surgical specimen: right upper lobe of the lung. Question: Considering the clinical history and the provided images, what is the most likely diagnosis? Angioinvasive pulmonary aspergillosis. Necrotizing pneumonia. Pulmonary hydatid cyst. Fungus ball (aspergilloma). Test Question (Medical Residency Process 2012 - Universidade Federal do Estado do Rio de Janeiro)Pergunta:The radiological sign known as the Monod sign is found in: Lung cancer. Tuberculosis. Sarcoidosis. Cryptococcosis. Aspergillus fungus bal. Time is Up! Time's up
