A CASE OF HEMOPTYSIS DUE TO SILICOTUBERCULOSIS: CASE REPORT.

A 60year old gentleman, mason by occupation, presented with shortness of breath since 9months, cough since 5months, streaky hemoptysis since 5days. He is a smoker with 20 pack-years. On examination patient is tachypneic and sings of bilateral lung consolidation was present. Chest X-ray showed Non-homogenous opacity in bilateral upper zones and left mid zone and calcified lesions in left para-tracheal location and in right cardio phrenic angle. Sputum for AFB was negative. Spiral CT-chest revealed calcified mediastinallymphnodes and bilateral hilar soft tissue density lesions extending peripherally into posterior segment of upper lobe and superior segment to lower lobe- suggestive of progressive massive fibrosis. In view of occupational history, considered as pneumoconiosis. CT guided lung biopsy of right upper lobe lesion was done and sent for HPE-reported as Tuberculosis. ATT was started under RNTCP along with supportive treatment.