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Medicine Respiratory 6b7f1b74

Rampal, 45 yr old man presents with history of recurrent hemoptysis and purulent sputum. His chest X-Ray is normal, which of the following will be the next best investigation for him?

A
HRCT
B
CT guided angiography
C
Angiography
D
Spiral CT
High-Yield Explanation
Ans. is 'a' i.e. HRCT History of the pt. points towards the diagnosis of bronchiectasis. To rule out or confirm the diagnosis of bronchiectasis, HRCT is advised.Harrison writes - "In patients with suspected bronchiectasis, HRCT is now the diagnostic procedure of choice, having replaced bronchography."

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