system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 40 yrs old man presented with repeated episodes of bronchospasm and hemoptysis .chest X-RAY revealed perihilar bronchiectasis.the most likely diagnosis is
assistant
The correct answer is  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