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Chest X-ray demonstrating mediastinal shift secondary to left lung fibro-cavitatory destruction.
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However, this was complicated by fibro-cavitatory destruction of her left lung with post-TB bronchiectasis (Fig. 1).
CT scan illustrating bronchiectactic changes with sub-centimetre mycetoma's.
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Over the course of her follow up at the pulmonology clinic, and 2 years prior to this current presentation, she developed apical mycetoma's, which were identified on computed topographical scan of the chest (Fig. 2) and due to evident haemoptysis, she was considered for a left pneumonectomy.
Direct angiography during coil embolization illustrating arterial blush secondary to ruptured aneurysm.
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Direct angiography indicated a pulmonary arterial blush adjacent to the left upper lung cavity confirming the presence of a Rasmussen's aneurysm (Fig. 3).