<prompt> A 40 yrs old man presented with repeated episodes of bronchospasm and hemoptysis .chest X-RAY revealed perihilar bronchiectasis.the most likely diagnosis isSarcoidosisIdiopathic pulmonary fibrosisExtrinsic allergic alveolitisBronchopulmonary aspergillosis  <response>: The predominant clinical presentation of ABPA is an asthmatic phenotype, often accompanied by cough with production of brownish plugs of mucus. ABPA has also been well described as a complication of cystic fibrosis. Ref Harrison 19th edition pg 1686 