This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Respiratory system, Subject name: Anatomy
[{'content': 'A 40 yrs old man presented with repeated episodes of bronchospasm and hemoptysis .chest X-RAY revealed perihilar bronchiectasis.the most likely diagnosis is \nSelect and explain. \nA. Sarcoidosis, B. Idiopathic pulmonary fibrosis, C. Extrinsic allergic alveolitis, D. Bronchopulmonary aspergillosis', 'role': 'user'}, {'content': 'Answer: D \nExplanation: 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', 'role': 'assistant'}]