Case 333

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.


Considering the clinical history and the provided images, what is the most likely diagnosis?

Test Question

(Medical Residency Process 2012 - Universidade Federal do Estado do Rio de Janeiro)
The radiological sign known as the Monod sign is found in: