This CXR is that of a 36-year-old male with childhood asthma | Figure 1

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This CXR is that of a 36-year-old male with childhood asthma, admitted because of chronic productive cough, easy fatigability, bipedal pitting edema, and weight loss. He had been on multiple antibiotics with no relief. Labs revealed anemia, normal WBC, CRP 25, normal BUN/crea, slightly elevated transaminases. Intubated because of sudden massive hemoptysis. Guess the diagnosis?


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