Haemoptysis and a cavity in a young man.

Case History A 23 year old Algerian male was admitted to hospital due to intermittent mucopurulent and blood-stained sputum of 2 yrs duration. Temperature, blood pressure, cardiorespiratory and abdominal examination were normal. Laboratory findings showed 480 eosinophils·ml -1 in peripheral blood. The lateral and posteroanterior (PA) chest roentgenograms are shown in figures 1 and 2. Empirical treatment with clindamycin was administered but no changes in chest roentgenogram were observed after one week. Computed tomography of the thorax is shown in figure 3.