<s>[INST] Was told had Valley Fever in 2008 and had a lung lesion of 1.4cm. Now in Jan of 2010 Valley Fever is back and my Dr has placed me on Fluconazole 400mg per day and the lung cavity has grown to over 4cm I have a chronic cough some times with blood. Still on meds and my health has not changed.. I want to have lesion removed due to family history of cancer and I am a ex-smoker. [/INST] Hello dearWarm  welcome to Healthcaremagic.comI have evaluated your query in details  .*  I recommend for the CT scan of the thorax to decide further line of     management which may include biopsy of the lesion & further .Wishing you fine recovery .Feel  free  to ask any further doubts .Regards  . </s>